My breast implants haven't dropped after 14 weeks post op! Will they ever drop? (Photo)

Breast implants initially after surgery when placed in a submuscular position often give superior fullness that corrects itself with time, the "fluff and drop" phenomena. In reality the pectoralis major muscle takes a while to adjust its size to accommodate the implant as well as occasional muscle spasm which keeps the implant projection higher than its final resting shape. Additional variables include:laxity of skin, size difference during prior pregnancies, position of implant,size of muscle, and size of implant.As the muscle relaxes the projection of the implant often increases and the breast shape improves. Massage and use of a superior placed elastic strap can often make this process go faster.

Initally after surgery implants may sit high. It generally takes about 3 months for the implants to drop. Have you tried massaging them down? If the muscle was not released adequately they may remain high until a revision is done. Each surgeon's protocols differ. We do not charge patients for this. Regards, 

Most implants will "drop" by 3 months, but some take longer. If the pectorals muscle was not released adequately, then they may not change much. I would wait at least 6 months.Talk to your surgeon, and if not happy with the response, then get your "operative report" from him and see someone else.Good luck

Thanks for sharing your concerns with us. Its too early to talk about final results. In my practice, after performing a BA I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling.Kind regards,Dr. Emmanuel Mallol.-

Thank you for your question and for sharing your photograph. Unfortunately without before pictures it is difficult to assess whether you were a candidate for a breast lift at the time of your breast augmentation, but that said your implants do seem to be sitting high on your chest.  This is likely from tightness and swelling of your chest muscle, as well as the size of your implants relative to your breast starting point.  I would recommend waiting at least six months before assessing the need for revision surgery, your implants may still drop yet.  Hang in there.  

Although it is impossible to tell without examining you in person, it appears to me that the implants are still riding somewhat high on your torso. I say this because the shadow of the outline of the implant seems to be rather close to your clavicle. At 14 weeks out, I would expect them to have dropped more. Of course, no decisions should be made until several more months have passed.At this stage, you are still early in the healing process. The final result for a breast augmentation or Lift is never really judged until several months from the procedure. Typically, I will wait 6 months before I assess the results. Of course, it can be difficult to be patient while awaiting a result for such a long time, especially when you are excited. But, keep in mind that living human tissues are different than sculpting with plastic or sewing with cloth. Those substances are fixed and don't change much with time. Human tissues, on the other hand, stretch, spread, settle, and change as they go through the different stages of healing. This process takes time and as it proceeds, your result will change until the healing is complete.This is why plastic surgeons will always advise patience for the first few months after these procedures. If nothing has improved at the six month mark, you may need a revision procedure to release the lower portions of the breast pocket so that the implant migrates downward. Typically, this is done at a reduced rate of some sort by the operating surgeon, but anesthesia and operating room fees still applied. Talk to your surgeon about this and keep in close contact with him. I hope this info helps!Best of Luck, Dr. SubbioPhiladelphia/Newtown SquareBoard-Certified Plastic Surgeon

I have a few questions. 1) what did your breasts look like before surgery- photos would help.  2) textured or smooth implants? 3) did you have breast ptosis before surgery?  A small lift may be very helpful, but your implants may drop some more over the next few months.

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. It sounds like he has giving you good guidance; revisionary breast surgery may be necessary to achieve an outcome that you will be happier with.
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, size of breast implant utilized, and concerns such as pre-existing breast asymmetry.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.Sometimes, one or both breasts implants do not settle as planned and revisionary breast surgery becomes necessary to improve the outcome. On other occasions, if the long-term breast asymmetry is mild ( understanding that absolute symmetry is very rarely achieved), patients will need to decide whether proceeding with revisionary breast surgery is worth the potential downsides associated with additional surgery.Policy regarding coverage of expenses for revisionary surgery will vary from office to office and probably on a case-by-case basis as well. Costs of revisionary surgery may range from zero, to anesthesia/surgery center fees, to discounted surgeon's fees. Best wishes for an outcome that you will be pleased with long-term.

When looking at your photos (and it is impossible without a true exam) it appears that your implants have come down to pretty close to where they belong.  What I believe you are noting as not dropping or fluffing is really a problem with your original natural breast tissue being a bit low relative to the implants.  Preoperative pictures would answer the question but I would bet you have some droopiness of your nipples with extra skin down at the bottom of the breasts and really could have benefited from a lift.  Now the implants are sitting where they belong but the nipples are still too low.  Some surgeons try to put large implants in to try to get away without doing lift and while sometimes this works it very often doesn't.  At 14 weeks they will continue to change a bit but I would discuss these issues with your surgeon.  As far as costs for revisions that is an individual treating doctor policy that none of us will be able to answer for you.

Over the internet dis not replace in person send opinions! It might be : Too large implants? Poor inferior and lateral pocket dissection? High riding effect from the stretched muscle? Or all of these?