Are My Breast Implants Too High?
Your implants will settle down over the first 3 months after surgery
Following your breast augmentation, your implants may appear to be sitting slightly too high, they may seem to have too much fullness up top. This is especially true when they are placed under the muscle. It takes time for the overlying muscle fibres to stretch out and to allow the breast implants to settle in. Also, immediately after surgery you have swelling which is most pronounced on top.
Implants that sit perfectly the day after surgery will likely descend over time as they settle in. All implants settle in. Gravity is a constant force pulling down on your breast implants, and initially after your surgery while your wounds are still healing and tissues are soft, gravity will pull down on the implants. Tissues around the breast implants will also stretch out. Implants that sit a little too high right after the surgery will also descend and when they do, they will come into just the right place.
Over time your implants will settle in to a more natural looking position.
Implants above the muscle
Implants above the muscle are not held up by the pectoral muscle fibres and should be situated close to where they are supposed to sit. In this case, because there is no muscle fibre to support the breast implants, the descent/settling in is actually an unwanted event and leads to ‘bottoming out’. When implants are placed above the muscle, Dr. Jugenburg secures the lower border of the implant pocket to prevent the implants from moving downward. The implant should actually not move, you only will notice that the swelling which is more prominent up top goes away and it creates the impression of the implant coming down.
Implants below the muscle
Implants placed below the muscle can sit either completely behind the muscle, or partially behind the muscle. When behind the pectoral muscle, muscle fibres act like a support leash holding implants up. Initially, these muscle fibres are tight (that’s they natural state) and they are pushing the breast implant upward. You will be instructed on massage that will push the implants in a downward direction, stretching the pectoral muscle fibres. As the muscle stretches, it will allow the implants to descend (it is normal that the two muscles have different tensions, and usually for right handed people the right side takes a little longer to come down)