1.5 months post-op. Was told I was borderline and didn’t need a lift. Do I? Also, do I have flex deformity? (photos)

Question

I’m 1.5 months post op. My implants have dropped quite a bit with my left being slightly higher the entire process. I recently noticed a line/dent when I flex that side. Also, would I expect much change in shape still? I think I have snoopy breast? Lower tissue hangs down or whichever way I bend. It’s not horrible but not my expected outcome. I had no upper pole volume after breastfeeding. Size 36/6 deflated. Had 371 ccs round silicone. Should I have gone bigger? Lift? Thanks

Daniel Barrett, MD · Answer

Dear teeleelee,
I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question and photographs.  At only 6 weeks after surgery you should see continued maturation of your results for the next several months.  Tissue swelling is still maintaining your implants in an elevated position and you should see gradual redistribution of the silicone into the lower portion of your breasts to achieve an improved lower pole, with less of a snoopy deformity.  Hang in there and allow your results at least 6 months to mature, you will have a better idea of final results at that time.  Best wishes.

Emily B. McLaughlin, MD, FACS · Answer

Thank you for your question. You are still early in the healing process. Keep in mind it is not uncommon to have swelling. Breasts may not heal at the same rate, causing one breast to appear different than the other. It can take up to 12 weeks for the implants to settle and you to see the final result. Follow up with your board certified surgeon to address your concern. Good luck!

Mahmood Kara, MD - Account Suspended · Answer

Hello. 
Thank you for your inquiry and congratulations on your surgery!It generally takes around 6 months to a year to see your final results. Your tissues will take time to relax and allow your implants to "Drop and Fluff" settling into place.
It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually.
  
Continue to update your doctor in the matter and follow their post-op protocol.
  
It is important to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is crucial for healthy results.
Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.). 
  
Please note that this response does not substitute patient-doctor relationship.
  
We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
  
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
  
We invite you to come in to discuss your options more thoroughly.  Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
  
M.Kara,MD,FRCSC (27+ years experience)
  
- Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Daniel Greenwald, MD (in memoriam) · Answer

It appears from the photos and description that the implants are under the muscle. This leads to Dynamic Breast Deformity (DBD): the muscle contracts and the underlying implant shifts position.  In addition to this it is likely that if the implants are under the muscle they will remain in relatively high position over time while your breasts will eventually droop with age and gravity.  This separation of volumes is called double bubble contour and may need to be revised surgically.  For these reasons it is increasingly unpopular to place breast implants under the muscle.

1.5 months post-op. Was told I was borderline and didn’t need a lift. Do I? Also, do I have flex deformity? (photos)

Answers (5)

Answer: Aftercare

Answer: Aftercare

Answer: Deformity after breast augentation

Answer: Deformity after breast augentation

Recommended reading

Everything you need to know about Breast Implants

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

1.5 months post-op. Was told I was borderline and didn’t need a lift. Do I? Also, do I have flex deformity? (photos)

Answers (5)

Answer: Aftercare

Answer: Aftercare

Answer: Deformity after breast augentation

Answer: Deformity after breast augentation

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

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