Yes, things take time but at four months I would have expected some progression. I would ask for photographs to be made and make a timeline you can live with. For example, if the implants haven't dropped in 2 more months then would I be a candidate for revision? If so, what would that cost? Then you'll have a plan and can work from there. Good luck!

Published on Jul 11, 2012

It is very difficult to address your concerns without a photo. As a general rule, the anatomic implants should look more natural right away, though the upper pole swelling can take a few weeks to subside. Please express your concerns to your plastic surgeon; they should be able to answer them for you. If you are still uncertain, it is not unreasonable to seek a second opinion with a board-certified plastic surgeon.

Published on Jul 11, 2012

You have many excellent questions. Your doctor will be able to give you the answers to them. If implants are no longer moving, then you may have excessive scar tissue. An exam will help your doctor determine the issues. Good luck.

Published on Jul 11, 2012

Anatomic implants must be near perfect, secondary to the shape and texture. There is little room for "dropping," and assuming it has been 4 months, this would need to be discussed with your plastic surgeon.

Published on Jul 11, 2012

Thank you for your question. The complete healing process can take from 6 months to a year. Memory Shape implants are textured, which means they "grip" or adhere to the tissue more than smooth-surfaced implants and to avoid rotation, the implant pocket has to fit the implant dimensions precisely. As a result, it may take more time for you to achieve your final breast appearance. If you are experiencing some degree of encapsulation (hardening of the breast implant), you may benefit from taking a medicine to help soften the breast such as Singulair. Discuss your concerns with your plastic surgeon.

Published on Jul 11, 2012

Sounds like you will need a revision if you are not close enough to a good appearance at 4 months. Most of the settling occurs in the first three months, but you settle after that as well.

Published on Jul 11, 2012

You need to go see your surgeon.

Published on Jul 11, 2012

Yes, remember that wound healing takes time. You will see a change, but it can take up to one year. Talk to your doctor.

Published on Jul 11, 2012

Congratulations on having undergone the breast augmentation procedure. No one will be able to predict exactly what cup size you will wear or whether the breast will look slightly smaller or slightly larger in the longer term. Variables involved include the presence of swelling currently and the disputed phenomenon called “dropping and fluffing” that occurs after several weeks. In my practice, I have seen this phenomenon occur; the breasts appear larger as the implants "settle".

At this point, I would suggest continued patience and continued follow-up with your plastic surgeon. Stay emotionally even keeled during the process of physical and psychological “adaptation” to the new body image that occurs for any patient undergoing body contouring surgery.

Best wishes; hopefully you will be very pleased with the longer-term outcome of the procedure performed.

Tom Pousti MD
http://www.poustiplasticsurgery.com/Procedures/Procedure_breastAugmentation.htm

Published on Jul 11, 2012

Mentor Memory Shape anatomic implants are textured anatomic silicone gel breast implants and by definition, textured implants really don't "drop". Smooth round implants are the type that can "drop" after breast augmentation. Textured implants are very good at staying in position on the chest wall long-term but if they are still "high" at 4 months, it is extremely unlikely they will "drop". I would discuss your options with your plastic surgeon. Good luck.

Published on Jul 11, 2012