Q&A: CAN BREASTS STILL EVEN OUT AND DROP 4 MONTHS AFTER AUGMENTATION?

"Hi, I am 4 months post op and my left fluffed out and is bigger on the bottom while the right one sits higher has more fullness on top and is not full on bottom—I am guessing it hasn’t fluffed? I am super worried that they will stay this way…I do not think I have capsular contracture since my surgeon said they are healing nicely but I FEEL LIKE EVERYONE IS BLIND…what is so nice about 2 different boobs…will they ever drop or is 4 months post up already too long of a time."

 

DR. POUSTI: 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.

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.

Again, best to follow your plastic surgeon for more specifics. Best wishes for an outcome that you will be pleased with long-term.

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