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While breast enhancement, such as breast implants, will give you instant volume, they may not immediately appear as you envisioned them. The implants may be sitting way too high on your chest and this may cause you to feel alarmed. Don’t worry because this is normal! The new implants may sit high even after the initial swelling has gone down and the incisions have healed. In fact, it may take several months for breast implants to settle into place and for you to see the final outcome. During the recovery period, it’s imperative to understand that the breasts are still evolving. Therefore, learning how breast implants settle will help you through the recovery process and allow for a more successful result.

Implant Placement and Settling

Breast implants are placed either subglandular or submuscular. Subglandular means that the implants are placed under the breast tissue but over the pectoralis muscle. Submuscular means that the implants are placed under the muscle. Either placement will involve some settling although submuscular implants are a little slower. When placing an implant, the surgeon will make a small pocket within the breast tissue. The pocket for the implant is created a bit higher since the weight of the implant will stretch the breast tissues so the implant will “fall” into an appropriate position. Implants which are placed behind the pectoralis muscle will agitate the muscle wall and cause pressure on the implant. However, the pressure will create extra volume in the upper portion of the breast tissue. As the muscle begins to relax, the implant will drop behind the wall of the muscle and “fluff out” to fill out the lower region of the breast. This process of implant settling is often referred to as “dropping and fluffing.”

How Long Does It Take for Implants to Settle?

The amount of time it takes for implants to settle into place depends on:

• Implant type
• Implant size
• Proportions of the chest wall
• Muscle tone
• The breast tissue

On average, it will take approximately four to six weeks before the implants start to drop. A patient with small breasts, that is obtaining a large implant, will take a little longer for the implant to settle because of the tightness of the skin. Since implants vary in shape, texture and material, these aspects can impact the settling period. The implants will either be silicone or saline and may be smooth and round or textured teardrop implants.

Smooth and round implants will drop faster than textured implants because they can rotate and turn freely within the chest pocket (which is normal and expected). Teardrop shaped implants are textured which helps them stay in the appropriate position. Therefore, the surgeon must place these implants in a very precise pocket so the implants do not flip or rotate. Teardrop-shaped implants become more flattened over the top due to the muscle tightening but they do not actually drop. Yet, once the muscle relaxes, the implant will fluff and provide a more natural appearance to the breast.

Gummy bear implants are anatomically shaped, textured and made of a highly cohesive silicone gel. These are also teardrop-shaped implants which are placed so that minimal movement of the implant occurs after surgery. Gummy bear implants settle more quickly than conventional saline and silicone implants but they are more costly.

Helping the Implants Settle Quicker

The surgeon may advise the patient to wear an elastic band around the top of the breasts to encourage the implants to move down quicker. The surgeon may also recommend some techniques to help speed the relaxation process such as medication or massages. It is not uncommon for one side to relax before the other which causes one implant to settle first. Nevertheless, it takes time for the body to heal and implants to settle so patience is very important during breast implant recovery. However, if your implants have not settled within 6 to 9 months; a revision surgery may be required.

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