Very common scenario...you requested downsizing which should have been achieved moving to a smaller volume implant and especially from saline to silicone which tends to be less projecting even at the same ccs but you did decrease the ccs../regarding the lift, while elevating and reducing the soft tissues of your breast should "move everything up" a bit, the degree of upper pole fullness can often be disappointing depending on expectations and preop discussion and as well, it is inevitable that the initial normal "settling" process will result in som upper fullness loss over the first few months. One of the reasons for the growing use of internal support materials such as Galaflex.

Published on Jul 11, 2012

I would expect you to lose upper pole fullness with that combination of procedures. Lifts don't help much with upper pole fullness--they change nipple position and tighten the lower breast. Upper pole fullness comes from the implant (or fat grafting). A smaller and higher profile implant will make you lose upper pole fullness (the higher profile implant doesn't sit as "tall" on your chest, so it gives less upper pole fullness). Without seeing photographs or having more details, generally the ways to add upper pole fullness are fat grafting or to switch to a larger implant or a lower-profile implant (or both)

Published on Jul 11, 2012

Breast lifting reduces breast volume of projection by up to a half cup size. When you combine that with downsizing the implant, you can expect your breasts to lose fullness. There is no point of worrying about whether the implants will drop more; just wear appropriate support as instructed by your surgeon and your skin envelope will determine how much the implants will settle (i.e. it's out of anyone's control).

Published on Jul 11, 2012

Do not worry, this is a normal process. They may take 6-9 months to settle down, especially if they are under the muscle. They look very high post operatively then they drop because the muscle stretches to accommodate them, but most of the dropping happens in the first 3 months.

Published on Jul 11, 2012

It is possible they could still drop over the next 5 or so weeks. Myself and nurses are heavily involved in bra management after surgery, because it can really make a difference on the end result. If you were my patient I would recommend you wear a good support bra that offers some lift around the clock to keep the implants in place. Please check with your plastic surgeon to see what he/she recommends. He/she knows you best.

Published on Jul 11, 2012

The upper pole fullness comes from the implant itself, not the lift. The lift can raise the breast tissue, but it does not really raise the implant up significantly. Because you went with an implant that is markedly narrower than your previous implant, you are seeing the effects of that in terms or loss of implant height. The implant you have may be a rounder implant, but it dose not have enough height to fill up your upper pole. To achieve that you would have needed an implant with the same diameter dimensions as your old saline implant. I hope this helps.

Published on Jul 11, 2012