Implants will do most of their dropping in three months. In some cases, it can take up to six and 12 months. At 12 months, most if not all of the inflammation has subsided and you are most likely at your final result.

I hope that answers your question concerning your surgery. It’s great that you’re doing this research. I always say that the best patients are informed patients.

You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select an implant shape, size, and profile that is perfect for you?

A term that I use with my patients for the perfect implant is the “Pony Implant”.

So what do I mean by “perfect”? Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.

Second, when you choose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.

And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"

That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours.

This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.

Thank you for reading and best of luck on your journey!

Learn more: http://drwilliamrahal.com/

https://www.youtube.com/watch?v=th25pwMOB-A&t=59s

Published on Jul 11, 2012

I think you need to be re-examined by a board certified Plastic Surgeon to determine your exact circumstance and help you come up with a treatment plan. That being said, there are some general principles that I can detail to you that apply to your situation.

By one year your implants should look natural, move naturally, and not be a constant requirement of your attention. If they are too high by about 2 months after surgery, there are a few reasons.

One reason is that the pocket was not made low enough into the fold at the time of surgery. This is a rare circumstance. In my practice, I sit the patient up in the OR and look at the fold position from all vantage points. My nurse takes three views in the OR to document your beautiful result photographically.

A more common circumstance is that you developed a capsule contracture before your implants "dropped." If so, your implant pocket constricted and didn't allow the natural gravity and muscle relaxation to occur that makes your result look like it did in the operating room. That sounds like what happened to you.

At this point, I think the time of hope and waiting is over. You now have surgical and non-surgical options to successfully treat your situation and improve your results. You should probably think about having Full Circle Solutions review your situation and see if the ten sessions of non-operative ultrasound treatment in the office can have the effect I've seen on patients that have seen me for your problem of capsule contracture.

The alternative to you is to have an operation to remove your restricting capsule. Even then, after your capsulectomy the Aspen technology in Full Circle solutions would offer you the option to have a post-capsulectomy antibiotic protocol. This means about two weeks after your capsule removal surgery, the painless Aspen ultrasound is applied in the office to your breasts for five sessions, applied once a week. With each post operative session you take an antibiotic pill to help your body defeat the re-formation of biofilm. Biofilm is the current research topic thought to be the physiologic basis of capsule contracture.

You can also try a course of daily oral leukotriene inhibitor, Singulair medication. But I think your capsule is probably not going to respond to that drug because of how long it has been established.

I look forward to helping you!

Published on Jul 11, 2012

Unfortunately, under-the-muscle implants many times causes the implants to be high and the breast to be low, what is called a "snoopy dog" look. That is why I try and individualize for each patients breast and appearance.

Massaging or wearing a band is not going to help them drop. I would suspect that you had some droopiness of your breasts after having children and you probably needed some sort of uplift in addition to your surgery.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery
Newport Beach, San Francisco,Miami, Italy, Anguilla
949.640-6324/1.888.234-5080(Ca)
FAX- 949.640-7347
Website: http://www.surgery-plastic.com
Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)
Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors
Plastic Surgery- 2005-2017
President,American Society of Bariatric Plastic Surgeons
www.ASBPS.org
Organoderm Skin care/ScaRxTape

Published on Jul 11, 2012

At this point is unlikely your implants will drop much more. If the position is a concern, I would recommend visiting your plastic surgeon to discuss a possible revision surgery.

Published on Jul 11, 2012

I am sorry to hear your concerns. I generally ask patients to perform the downward massage (aggressively), and I have seen breast implants "settle" up to one year post-op, but if you are at the one year and the breast implant has not settled, then you may want to start conversation regarding revising that side.

Best wishes for a result you will be pleased with.

Sincerely,

Tom Pousti MD
www.PoustiPlasticSurgery.com
619-466-8851

Published on Jul 11, 2012

By a year, implants are usually fairly well settled. Having some degree of malposition--being too high, too low, too right or too left--can happen. It may be that you could benefit from some additional release of the bottom portion of your implant pocket.

Revisit with your plastic surgeon. I wouldn't be nervous that they will be high forever. You can always have them lowered if they do not settle to your degree of satisfaction.

Published on Jul 11, 2012

Implants will typically descend during the initial three to four weeks post-op as the soft tissue stretches. If they have not descended over the course of one year, they are unlikely to fall any further.

As always, discuss your concerns with your board certified plastic surgeon (ABPS). You may benefit from revisionary surgery and capsular release to allow for descent.

Published on Jul 11, 2012