Breast Augmentation: Cost, Reviews, Photos

Implants are high

I agree that your implants are too high for five months after surgery. You will need another procedure to enlarge the pockets at the bottom as well as the sides. The revision can be approached either by way of the axillary incision or an incision placed in the crease under the breast mounds.

Talk to your surgeon to get his input regarding the approach he/she feels more comfortable performing. (Joseph N. Togba, MD, Oakland Plastic Surgeon)

I think the implants are too high. Not by much though. I think there is a tendency for this when BA is performed thru the axillary approach because it is more difficult to adequately release the lowest part of the muscle.

Breast implants sitting too high picture

Speak to your surgeon. Make sure he/she is comfortable with doing the revision thru the axilla or you may need an inframammary incision. (Ronald Schuster, MD, Baltimore Plastic Surgeon)

While there may be some further improvement in the position of your implants, it is unlikely that it will occur to a significant degree 5 months after surgery. I would probably advise waiting a few more months and then proceed with a revision. You also need to be evaluated for possible capsular contracture. (Eric T. Emerson, MD, FACS, Charlotte Plastic Surgeon)

I agree that the implants are high. Although the implants may drop a little more, I doubt that they will end up in the best position. A revision will probably be necessary and should be fairly straightforward. (Brian Klink, MD, Vacaville Plastic Surgeon)

Breast implant position

Breast implants sitting too high photo

1. The implants are sitting too high. I disagree that it is looking ‘normal’.
2. After 5 months I would not expect the implants to drop much. This is a known problem with operations through the armpit – you get a hidden scar, but creating the pocket at the right place is more difficult. It will be very reasonable to ask for a revision/re-positioning. (Anindya Lahiri, FRCS (Plast), Birmingham Plastic Surgeon)

Axillary augmentation

The photos of you show why I do not do breast implant surgery through the axilla. I find that it is very difficult to get the implants low enough. If all I had to go on was your photos, I would remove the implants and replace them through a circumareolar incision so I could release the medial head of the pectoralis muscle and make sure that they were low enough.

Breast implants sitting too high or not

Actually, most of the time, I put silicone implants over the muscles which is where your breasts are. (William B. Rosenblatt, MD, New York Plastic Surgeon)

The too high breast implant

The point of projection on your implant should be centered on the nipple, and it is evident from your photo that the implant is projecting above, and yes, the implants are too high. After five months there is little chance the implant will ‘drop’ and if you are quite unhappy you may have to consider a revision. (Peter E. Johnson, MD, Chicago Plastic Surgeon)

Breast implants sitting too high

Breast implants sitting too high image

Your breast implants do seem to be sitting high. If this was right after surgery I would advise you to be patient and to massage them downward, however at 5 months you most like need to talk to your plastic surgeon and consider a capsule release to allow them to descent properly. (Martin Jugenburg, MD, Toronto Plastic Surgeon)

Although it is possible that your implants will soften and drop after 5 months, it is not likely. Most of the time, the muscle is stretched or “torn” with this procedure, but not divided directly, unless an endoscope is used. This can result in “bands” of muscle that hold the implant up too high, I would guess that this is what has happened to you.

It would be a fairly simple procedure to lower your implants into a more natural position. This could be done with an endoscope, using your existing incisions, or by making a new incision, say around your areola. Either way, I would discuss a revision with your existing physician, or seek a new one. (Daniel Sherick, MD, Ann Arbor Plastic Surgeon)

Wait it out

Are breast implants sitting too high

You are 5 months out from surgery. My suggestion is to wait before deciding if you need a revision. They change up to 1 year. They still may become softer and drop, make sure you massage them.

At one year if you decide to go ahead with a revision it might be better to use the incision in your breast natural crease, this will help the surgeon create a pocket for your implant and pull the implant down easier if that’s necessary. (Michael A. Fiorillo, MD, New York Plastic Surgeon)