Snoopy/Waterfall Deformity at 8 Weeks? (photo)

Please wait until about three to four months after your surgery to assess your results. Your breast appears like it hasn't entirely settled, yet.

I would suggest massaging downward on the implants. A velcro strap above the breast called a bando can also help to fill out your lower breast with the implants. If after several more months, you are still concerned with the shape, you could consider a lift or perhaps a re-position of the implants.

Thank you for the pictures.  At 8 weeks out, it is still too early to make a decision about a revision.  At least 3 months (or more) need to pass before understanding more about what your final result will look like.  I will say that it is unlikely to see more "settling" after 3 months.  I would continue the massage and push-down wrap for now.  Your left implant is indeed sitting high and I hope this does not also represent some capsular contracture as you mentioned that the breasts feel quite firm.  If it remains this way, you may need a revision of your implant pocket to lower the breast. 

Thank you for your question. Your plastic surgeon will always be your best resource when it comes to an accurate assessment of your situation, advice, predictions, and/or meaningful reassurance.
Generally speaking, breast implants will "drop" into the pocket that was created during surgery and massaging the implants downward may assist in the dropping of the implants after surgery (for those patients who want to help with the settling of the implants). The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized. 
Normally, it takes about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other.
 As breast implants "settle", they tend to round out the lower breast poles. As this occurs, the nipple/areola complexes seem higher on each breast mound.

 If, in the longer term, you have the same concerns, revisionary breast surgery will be necessary to improve your outcome. This type of surgery often involves adjustment of the breast implant capsules (capsulotomy) and/or (in some cases) breast lifting surgery.

If revisionary breast surgery becomes necessary, my best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as  well.   I find that the use of goal photographs and computer imaging are very helpful during this communication phase. Working together you will come up with a good plan to achieve your goals.  Best wishes. 

 

I suspect your right side will be fine after another 2 months. However I am suspicious that you may have some contracture on the left which may need  inferior release. You had significant asymmetry before surgery. There is no harm waiting for another 2 months to see if there will be change.  If surgery is required on the left it is fairly minimal. Good luck!

are most common when you started with borderline drooping.  Regardless, now that have your implants in, you need to decide if you wish to keep the upper pole fullness that you have or if you're willing to sacrifice it to fill the bottom more.  If you want the fullness, you can anticipate needing a minor mastopexy that can be done in the office under local.  If you want more naturalness and want to avoid the breast lift, you need to strap aggressively as you can still effect changes, even though you are past the window of best opportunity. 

Continue with the massages and strapping for another 6 weeks. Than if still unhappy consider a donut lift or other more invasive operations. 

It is still too early to tell what may or may not need to be doen. Both implants are still a bit high , obviously your left one is higher.

It is still too early after surgery to judge the need for revision, however, I would have expected your left side to have dropped more by now.  If you have smooth implants, implant displacement exercises may help, particularly pushing down on the left side.  If it doesn't improve more in the next month or so, I would consider a revision to lower the implant which is relatively simple.

By your body frame, your implant sizes and characteristics seem reasonable. One of the most important steps at the time of surgery is to create a pocket that matches the size of implant that's being placed. If a small implant is chosen by a patient, then an appropriate sized pocket is created to accommodate the corresponding volume. On the other hand, if a larger implant is chosen, then a pocket should be developed accommodate the larger volume. Deformities, such as high riding implants, or excessively firm or taut breasts can occur when a large implant is placed in an under-expanded pocket that has a space that is too tight or too small.

Thanks for sharing your photos and questions. Best of luck!

 

Gregory C. Park, M.D.