My breast implants are high and look square. Is this normal?

Hi, I had surgery on 10/13/2016. I got 405cc hp under the muscle. My implants are high and they look square. Is this normal? When will they start to take their shape? They look smaller than what I expected. Will they get bigger?

Answers from doctors (9)


More About Doctor Joseph Cruise, MD

Published on Nov 17, 2016

This is completely normal and what is to be expected early in the recovery process. Once the muscle calms down and releases the implants, they will fall into the pocket and take on an entirely new shape and look. I call this the "drop and pop" affect. They will drop into place and pop out, giving your more projection, resulting in a fuller look. The key is to be patient and to also remember each side may heal at a different rate.

Answered by Joseph Cruise, MD (View Profile)

This is completely normal and what is to be expected early in the recovery process. Once the muscle calms down and releases the implants, they will fall into the pocket and take on an entirely new shape and look. I call this the "drop and pop" affect. They will drop into place and pop out, giving your more projection, resulting in a fuller look. The key is to be patient and to also remember each side may heal at a different rate.

Published on Jul 11, 2012


Larry Leverett, MD, FACS

Published on Nov 11, 2016

They will not get bigger, but they will settle down, get softer, rounder, and more breast-like.

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Answered by Larry Leverett, MD, FACS

They will not get bigger, but they will settle down, get softer, rounder, and more breast-like.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Oct 26, 2016

Generally speaking, breast implants “settle” over the course of the first several weeks to months. There are many variables involved, including the size/position of the breast implants dissected, the size of the breast implants used, and the strength of the overlying pectoralis major muscle. Often, there is asymmetric breast implants "settling". Again, generally speaking, most patients are much happier one month after surgery than they are initially. In my experience, the vast majority of patients' breast implants have fully settled somewhere between 3 to 6 months. Occasionally, it may take even up to one year to see the final outcome of the procedure performed. I hope this helps.

Answered by Tom Pousti, M.D. (View Profile)

Generally speaking, breast implants “settle” over the course of the first several weeks to months. There are many variables involved, including the size/position of the breast implants dissected, the size of the breast implants used, and the strength of the overlying pectoralis major muscle. Often, there is asymmetric breast implants "settling". Again, generally speaking, most patients are much happier one month after surgery than they are initially. In my experience, the vast majority of patients' breast implants have fully settled somewhere between 3 to 6 months. Occasionally, it may take even up to one year to see the final outcome of the procedure performed. I hope this helps.

Published on Jul 11, 2012


Charles Slack M.D.

Published on Oct 26, 2016

Nothing to worry about at this point. Implants can look kind of rectangular early on due to a combination of swelling in the pectoralis muscle and tightness in the implant space. Usully the swelling starts to get better at 2 weeks and continues to improve for the first 6 months. Along with this, the implant pocket stretches out. These changes result in the implant "dropping". By 2 months you should look really good. You and your surgeon will want the process to stop, but there will still be a little more change over the first 6 months.

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Answered by Charles Slack M.D.

Nothing to worry about at this point. Implants can look kind of rectangular early on due to a combination of swelling in the pectoralis muscle and tightness in the implant space. Usully the swelling starts to get better at 2 weeks and continues to improve for the first 6 months. Along with this, the implant pocket stretches out. These changes result in the implant "dropping". By 2 months you should look really good. You and your surgeon will want the process to stop, but there will still be a little more change over the first 6 months.

Published on Jul 11, 2012


John Diaz, MD, FACS

Published on Oct 25, 2016

Initially, during the recovery period, the breasts may appear to be oddly shaped due to the swelling. As the swelling reduces and the skin stretches to accommodate the implant, the breasts will begin to evolve into a more natural shape as they drop and round out. You will see improvement in shape and contour each week with your final result usually around 3 months.

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Answered by John Diaz, MD, FACS

Initially, during the recovery period, the breasts may appear to be oddly shaped due to the swelling. As the swelling reduces and the skin stretches to accommodate the implant, the breasts will begin to evolve into a more natural shape as they drop and round out. You will see improvement in shape and contour each week with your final result usually around 3 months.

Published on Jul 11, 2012


David C. Yao MD, FACS

Published on Oct 25, 2016

Thank you for sharing. The early square appearance is common and temporary after an under-the-muscle breast implant of notable volume is placed. This generally will settle after a few weeks. The amount of time for settling depends on the size of implant and the patient's anatomy. See your PS. Best wishes and rest assured!

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Answered by David C. Yao MD, FACS

Thank you for sharing. The early square appearance is common and temporary after an under-the-muscle breast implant of notable volume is placed. This generally will settle after a few weeks. The amount of time for settling depends on the size of implant and the patient's anatomy. See your PS. Best wishes and rest assured!

Published on Jul 11, 2012


Robert Kearney, MD

Published on Oct 25, 2016

It takes three months for most implants to settle. You have quite a while to go. Don't look at them for another two months. The shape will change significantly.

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Answered by Robert Kearney, MD

It takes three months for most implants to settle. You have quite a while to go. Don't look at them for another two months. The shape will change significantly.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on Oct 25, 2016

Yes, that is normal. It is too early to tell what the final outcome will be. Just make sure to see your doctor for your follow--up post-op visits. This will change in two months and continue to change up to one year. They will look bigger, yes.

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Answered by Kenneth L. Stein M.D. FACS

Yes, that is normal. It is too early to tell what the final outcome will be. Just make sure to see your doctor for your follow--up post-op visits. This will change in two months and continue to change up to one year. They will look bigger, yes.

Published on Jul 11, 2012


Tal T. Roudner, M.D., F.A.C.S.

Published on Oct 25, 2016

Great question! You are very early in your recovery. It takes 3 to 6 months for thing to settle, so you have time for things to improve. For smooth round implants, they will drop and fill the lower pole of the breast over time. High profile implants will look fuller on the top as compared to lower profiles. Your breast are the largest they are going to be early after the surgery, so no, they are not going to get bigger, they will become smaller unless you gain weight. That said, they should get a better shape, and sometimes it makes them look larger.

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Answered by Tal T. Roudner, M.D., F.A.C.S.

Great question! You are very early in your recovery. It takes 3 to 6 months for thing to settle, so you have time for things to improve. For smooth round implants, they will drop and fill the lower pole of the breast over time. High profile implants will look fuller on the top as compared to lower profiles. Your breast are the largest they are going to be early after the surgery, so no, they are not going to get bigger, they will become smaller unless you gain weight. That said, they should get a better shape, and sometimes it makes them look larger.

Published on Jul 11, 2012


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