Without a photograph, it is difficult to tell what exactly is going on. Please contact your board-certified plastic surgeon. I'm not sure why you are producing milk. How soon after you stopped nursing/pregnancy did you have your implants?

Published on Jul 11, 2012

Implants should not be placed for at least 6 months after breast feeding (or pumping) has stopped. If one has dropped lower, it is probably bottoming out. Yes, tell your doc.

Published on Jul 11, 2012

Yes, you should consult with your doctor again at a future time.

Published on Jul 11, 2012

It would be best to discuss this thoroughly with your doctor. Without more information and possibly an examination, it is difficult to fully and accurately answer your questions at this time.

Published on Jul 11, 2012

Breasts are sisters, not necessarily twins. It is common for there to be asymmetry when they are compared to each other. But if there is pain out of proportion the other, they should be reassessed by your surgeon. Bottoming out of the breast can mean several different presentations and without photos, history, or exam, it's difficult to delineate the diagnosis. Sometimes the implant is perfectly positioned but the nipples face northward, which makes the implants seem fictitiously low. Sometimes the implants were placed perfectly but bottomed out bc of weight lifting or forceful contractions of the chest wall muscles (pectoralis), which ultimately push the implants downward and outward. Other scenarios exists in which both the implants and the breasts sit perfectly but the breasts are natively low on the chest wall both pre op and post op.

Bottom line, discuss your assessment with your surgeon while critically examining the pre op comparisons.

Published on Jul 11, 2012

Hard to tell without more information and photos. How long ago was the surgery? When was your last pregnancy? What meds do you take? Yes, talk to your plastic surgeon. You may need to see your gynecologist or internist as well.

Published on Jul 11, 2012

You definitely should discuss with your surgeon that you are producing breast milk. There are medications that can be prescribed for you to help reduce and stop the production of breast milk. As far as the one breast being larger and lower than the other breast, I would need to know how far out you are from your surgery. Swelling can last up to a year. Keep a follow-up appointment with your surgeon to discuss both issues. Open communication is always the best when you have concerns.

Best of luck!

Published on Jul 11, 2012

Pictures would make it easier to tell what is happening, but if you just had a baby, your skin has probably stretched out and the implant dropped as a result. You should wait until 6 months after breastfeeding to make a final assessment. You definitely should let your surgeon know what has happened. I wish you luck.

Published on Jul 11, 2012

Thank you for your question. It's not clear from your question if you have recently had a child or when the breast augmentation was performed. Based on your description and symptoms, it seems that you may be experiencing inferior displacement of your breast implant. The downward movement of the implant can result in the breast appearing larger, more pain, and asymmetry between the two breasts. I recommend you wear a more supportive bra as much as possible and to express your concerns to your physician.

Published on Jul 11, 2012

I appreciate your question.

Since there has been a change in your post-op course, please contact your surgeon so he can examine you and recommend the most appropriate treatment plan at this time.

The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Published on Jul 11, 2012

It is really difficult to say what is going on without knowing when you had your surgery and how it looks. Usually, if the nipple is "riding up," then the breast implant cavity is opened too much at its lower area. It would be unusual that an implant would come out of its pocket unless another space was made. As far as the breast milk, it would be important to know how long after your delivery/stopped breast feeding. Drainage from the nipple can be a sign of something going on within the breast. You should mention all these concerns to your plastic surgeon.

Published on Jul 11, 2012

Thank you for your question. It is not possible for online consultants to give you good advice without an examination. You should go see your surgeon and yes, you should tell him about the milk production, etc. Best wishes!

Published on Jul 11, 2012

This certainly needs to be evaluated. When were your implants done and where did your surgeon place them through? Was it the nipple area, bottom of the breast, arm pit? MRI is recommended for your implant position and condition.

Published on Jul 11, 2012

Breast asymmetry is common and may be accentuated with breast implants. If there is a propensity to sag, a breast implant could cause more sagging and a breast lift may be needed to help treat this. The presence of milk without recent pregnancy may be a sign of a hormonal imbalance, including a prolactinoma. A primary care physician may be a good place to start.

Published on Jul 11, 2012

You should definitely tell you doctor about it.

Published on Jul 11, 2012