9 Weeks Post Op, Will my Breast Implants Drop More? (photo)

Question

I was a 34 A and I am now a 34 C. I got 450 CC saline implants in both breasts. I am 9 weeks post op and my breast implants have dropped since my surgery. I still think they are high. Is this progress normal? Will they continue to drop? Stretch marks have appeared about 2 weeks ago. Anything I can do to help with the stretch marks?

Jerome Edelstein, MD · Answer

No matter the placement, your implants will drop after about three to four months. When implants are first inserted, they sit high up because your tissues are tight and gravity hasn't taken effect. Over time, natural tissue expansion occurs to allow the implants to fall into place. By this time, your breasts will have taken on a more natural contour, where the lower breasts become softer and rounder. Please wait at least four months for this to happen.This process tends to occur sooner in one breast than the other, so don't be alarmed if you find that your left drops before the right or vice versa.Stretchmarks can be minimized by leading a healthy lifestyle. This helps the skin become more resilient and supple. Once they develop, they are harder to get rid of, though. Seek the assistance of a medical aesthetician to help deal with stretch marks, but only after you've recovered fully.

Jeffrey J. Roth, MD, FACS · Answer

Thank you for the photos. You are still very early in your post operative course. Breast implants tend to start dropping into place after 3 to 4 weeks.  They usually will get to their final position in 6 to 12 months.  One will drop faster than the other, also the shape may go through changes.  Please follow your Board Certified Plastic Surgeon's post op instructions. For example; we like message, but some surgeons will have you wait, or do it in a specific manner. They may also have a cream they like for stretch marks.  Please also let them know your thoughts and concerns.

Miguel Delgado, MD · Answer

At 9 weeks post breast augmentation, it is
possible that your breasts will drop a little more than they have thus far.
This is completely natural and even expected at this stage of your recovery, as
your body is getting more accustomed to the additional tissue and concentrated
weight. Also, there are indeed topical treatments and laser techniques that can
help with the darkness of your stretch marks. This is definitely something you
should discuss with your surgeon at your next follow-up visit to get the most
personalized recommendation.

Larry S. Nichter, MD, MS, FACS · Answer

Your final results following a breast augmentation are mostly present; including "dropping of the implant", when implants are below the muscle, within the first 3 months for most and certainly by a year. 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.

Laurence Weider, MD · Answer

No need to be concerned at this point. Your implants will continue to drop over the next few months. You should talk to your PS, but I would recommend breast massage exercises and possibly a breast band (bandeau). As others have stated there is no known treatment for the stretch marks. Good luck.

Jaime Perez, MD · Answer

Hello. Do not worry about the positioning of your implants after only nine weeks. It will be at least 3 months before you can get an idea of the final results and 6-9 months before the implants completely settle. During the recovery period the implants will change dramatically. Unfortunately, stretch marks sometimes appear with the placement of large implants and cannot be reversed. If you have any questions or concerns, be sure to consult your doctor.

	
	Jaime Perez, MD
	Breast Implant Specialist
	Plastic Surgery Center of Tampa

Paul C. Dillon, MD · Answer

Hi
Thank you for your question and photos. In my observation you are too early in your considerations, give it time to settle. Don't worry, 9 weeks post op is to soon to determine what your breasts will look like. At this time, what you are describing is normal. Be Patient, you should see final results within 4 to 6 months. Continue to follow instructions by your doctor and you will see a drastic change as they settle. It is important to stay compressed and wear a stabilizer bra that both supports and help push the breast into the area or choice. Best of Luck!
Dr. Dillon

Michael M. Omidi, MD, FACS · Answer

Thank
you for the question.You are still in
the post operation recovery stage.It is
not uncommon to feel pain, itchiness, and slight abnormalities during this
period.It usually takes about 8-12
weeks for the wounds to heal and around 4-6 months for the implants to fully
settle.It would be best to visit your
board-certified plastic surgeon and get a full assessment if you have any concerns.Best of luck. Dr. Michael Omidi.An
in-person exam with a board-certified plastic surgeon is the best way to assess
your needs and provide true medical advice.

Darryl J. Blinski, MD · Answer

Continue massages and to me your results are very good. As for stretch marks can not really help with that

Andrew Jimerson, MD · Answer

Great questions. I expect the implants to continue to drop a bit. You should definitely talk to your surgeon, some of us recommend the use of a strap to encourage the implants to settle into a lower position. The stretch mark issue is a little trickier. Stretch marks are basically scars formed by rapid skin expansion. You can't make them go away, but frequent massage can help them mature and look less obvious. Talk to your surgeon for recommendations.

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