What to do if your breast implants too high immediatly after surgery?
Breasts Sitting Too High Following Breast Augmentation Surgery
It’s always difficult making recommendations without performing a physical exam or seeing pre-operative pictures. Despite this, your post-operative pictures clearly suggest several problems that are probably related to the initial breast pocket formation.
It appears that your breast implants are medially displaced and too high and as a result, the nipple areola complexes are malpositioned. This problem will not correct without surgical intervention and will most likely require a pocket revision. When transaxillary breast augmentation is performed, it can be difficult to separate the muscles along the inferior border of the breast pocket.
This under dissection can create the type of problem that you are experiencing. Correction involves expansion of the pocket laterally and inferiorly. This is most easily accomplished through an inframmary approach. It’s important that you discuss these issues with your plastic surgeon. In some cases, a second opinion may be appropriate. (Richard J. Bruneteau, MD, Omaha Plastic Surgeon)
Your breast implants appear to high and should have dropped into place by 5 months. I would see your plastic surgeon to reevaluate for revision surgery to place the implants in a more anatomical position and improve your appearance. (Paul Vitenas, Jr., MD, Houston Plastic Surgeon)
Based on the pictures you have provided, the implants are definitely too high for being 5 months post op. I would recommend that you talk with your Dr about going back to reposition the implants. (Joseph Serota, MD, Aurora Plastic Surgeon)
Implant malposition after breast augmentation
Although it is possible for your implants to drop five months after surgery, it is unlikely that they will move down far enough to make you happy with your shape. Based on your photographs, your implants appear to be too high and too close together. It is certainly OK to wait, but unfortunately, I think that it is likely that you will need some sort of revision surgery in order to obtain that look that you want. (James McMahan, MD, Columbus Plastic Surgeon)
Try techniques to help them drop, and if that doesn’t work, consider revision surgery
Some patients with tighter skin find that their implants take longer to drop and fluff. It looks like this may be true fro you. Ask your surgeon about what you can do to help the process, such as massage or wearing a bandeau around the top of your breasts. If however you find that this doesn’t work, you’ll probably need revision surgery to adjust the pocket. It might not be positioned properly. (Michael Constantin Gartner, DO, Paramus Plastic Surgeon)
Breasts Too High After Breast Augmentation
Your breasts appear to not have dropped and fluffed. Since you mentioned that you have firm, tight skin, you may need a little while longer for this process to complete. Sometimes it can take 6 months or longer. You can help the process with massage, however please talk to your surgeon for their advice.
They can give you the exact instructions on how to perform the massage. If this doesn’t help or other suggested nonsurgical treatment, you may require revision surgery to reposition the implants, placing them lower and perhaps choosing an implant that would achieve more natural looking results. (Jerome Edelstein, MD, Toronto Plastic Surgeon)
Your implants are sitting too high, particularly on the right, which makes your nipples appear droopy. Your inframammary fold (crease under your breast) needs to be lowered so that the implant can sit in the proper position on your chest wall.
I would go back to your surgeon to discuss your options. If he or she is still telling you everything looks normal, seek a second opinion. Good luck (Grant Stevens, MD, Los Angeles Plastic Surgeon)