I am now at 3 weeks post op & my PS is not pleased w/the way my breast tissue seems to be "falling over the implant".

Question

20 days ago I had a ba:360cc, textured,anatomical,cogel. I am now at 3 weeks & my PS is not pleased w/the way my breast tissue seems to be "falling over the implant". The PS would like to see me again in 6 weeks claiming it is "possible" that I would need a vertical breast lift!I am very upset that this is being sprung on me AFTER the fact as no lift has ever been mentioned before.I am not sure what to make of this as it is not a complication I have heard of!Any thoughts?

Richard H. Tholen, MD, FACS · Answer

I just responded to your question in another posting, but you provided some useful additional information here. Textured implants often do not drop (as much or sometimes at all) as time goes by and healing and scar softening occur, so if you have excessive drooping now, it may be more likely that you will need additional surgery in the form of a breast lift.

	I am answering this post in the hopes of advising more than one consultation with other board-certified plastic surgeons. Although vertical breast lifts work nicely for select patients (and seem to be "all the rage" in some plastic surgical circles these days), I am not a fan of the idea that vertical lifts are for "everyone" in need of a breast lift. My biggest concern is that vertical lifts correct the breast skin laxity in only one dimension. That is why the Wise-pattern (anchor) mastopexy is still the most common breast lift and breast reduction technique in use by the majority of plastic surgeons--this incision pattern corrects the skin looseness in more than one dimension, giving a much better breast shape (albeit with the presence of scars in your inframammary creases--usually well-hidden and minimally-visible). I fail to see the big advantage in the vertical lift when the vertical scar is irregular and too long, often crossing the crease into the chest area (below your swimsuit top!), and when this lift fails to address the skin looseness in the other direction!

	Of course, a personal examination (or photographs) would provide much more information upon which to base a recommendation, but again, be patient with the healing process before jumping to re-operation, and consider several opinions to avoid the scenario of my patient in the link below!

Steven Wallach, MD · Answer

I think I just answered your question in a different post.  But if your breasts are falling over your implants,. then they probably needed to be lifted.

Peter E. Johnson, MD · Answer

A photo would help, though one can imagine with an anatomic highly cohesive textured breast implant, under the muscle in a breast with a degree of loose skin the effect is is one of a 'breast' on a breast. The real breast is free to fall over the surface of the implant. What we mean is the cohesive gel implant is like a gum drop, stiff, and textured so no movement or flow with the breast, and the breast proper is free to move over the surface of the chest as before the implant was placed, no marriage between the two. Much to consider though a lift may only partly solve the problem. Consider another opinion and perhaps a lower profile smooth gel, not cohesive, over the muscle to lift and blend with the breast.

	Best of luck,

	peterejohnsonmd

Stephen Delia, MD · Answer

I agree with my colleagues, it is difficult to advise in the absence of more specific information.  Also , keep in mind, particularly with anatomical implants,  if the implants are "riding high" , it may sometimes accentuate the appearance of sagging or ptosis.  You may want to give  it more time ,do more massage on the upper pole of your breasts to possibly help the implants come down a bit.

Darryl J. Blinski, MD · Answer

Agree with Dr Rand. Post before and after photos please if possible. I bet you needed a lift from the get go.

I am now at 3 weeks post op & my PS is not pleased w/the way my breast tissue seems to be "falling over the implant".

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I am now at 3 weeks post op & my PS is not pleased w/the way my breast tissue seems to be "falling over the implant".

Answers (8)

Answer: ? Breast filt after augmentation

Answer: ? Breast filt after augmentation

Answer: Suddenly Need Breast Lift After Augmentation

Answer: Suddenly Need Breast Lift After Augmentation

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.