Can I do more to help implant settle? (photos)
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Doctor Answers 6
Thank you for your question. It sounds as though you have been compliant with conservative massage which is great. The asymmetry that you have and the hardness you are experiencing is most consistent with an encapsulation process. This accounts for the high riding position and the firmness. There is little else you can do conservatively. I would make an appointment with your surgeon to discuss current options. Don't despair a nice result is very possible. Best of luck!
Implant has not dropped post 5 months
You have reached the minimum time it takes to achieve final results. However, you may benefit from waiting 1 more month (6 months total) for the final results as per your surgeon.
I humbly request you to not be discouraged. For some of my own patients, the implants had not settled until 5-12 months.
Implants initially sit high up because the chest muscles and surrounding breast tissues have not become accustomed to the implant resulting in tightness. You have to allow gravity to take effect, and overtime, natural tissue expansion will allow the implants to fall into place causing your breasts to appear more natural, softer, and rounder. Once that happens, the implant will sit directly behind the breast tissue in a natural 45:55 breast ratio, and the nipples will move up higher. Currently, there may be excessive upper pole fullness (> 55:45) in the left side, so in time, this will change.
Please note that it is not uncommon for breasts to heal and adapt to implants at different rates. In fact, the process I described above can occur quicker in one breast over another.
Please give time for the “drop and fluff.”
With persistent inward and downward breast massaging, along with pole wraps, the breasts drop.
Patience is key!
If any implant does not drop with time, then it may be the case that the muscle attachments or the inframammary fold attachments are really strong and they may be preventing the implant from dropping completely. You may require an IMF release in the future to symmetrize the breasts if it does not get better for time.
Please continue to have regular follow-ups with your surgeon to make sure your breasts are healing beautifully. Their recovery instructions should take precedence over all else you read here as they are better informed about your surgical details.
Hope this helps.
Regarding the firmness and the asymmetry there is little you can do to help it settle since this is a part of the healing process, you can only do something to ease the pain that you will experience during the recovery period.
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5 Months Post Op
I'm sorry to hear about your difficulty. Pre op photos would be useful for comparison. If you note a significant difference in how the breasts look and feel this long after surgery, you may need surgical intervention to correct it. I recommend that you contact your Plastic Surgeon to discuss next steps.
All the best
Implant NOT DROPPED IN 5 MONTHS
from your photo, I believe you are correct in worrying about your result. Without pre-op photos to compare, it appears that your right breast was lower and larger than your left, and it still is. Your options will be to raise the right breast, or lower the left (whichever you like better), and change the implant in the left breast. Waiting one more month will not make any difference. You will need a surgical correction. Sorry for your problem.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.