Breast Implant Settling Process: How Your Implants Change Over Time

While every person's healing experience is unique, this guide gives you an idea of what you could expect from the breast implant settling process, including how your breasts may change over time and what typical recovery involves. It also helps you understand when something may not be healing as it should, so you know what signs to look out for if something has gone wrong.
Understanding breast augmentation surgery
Breast augmentation is a cosmetic surgery procedure that enhances the size or changes the shape of your breasts using implants. It’s one of the most commonly performed types of breast surgery and may be chosen for cosmetic reasons or after medical treatment, such as a mastectomy. The implants are usually filled with either silicone or saline and can be placed beneath the chest muscle (submuscular) or above it, behind your natural breast tissue (subglandular). Your surgeon will decide on the best placement based on your body type, how much natural breast tissue you have and the look you’re aiming for.
After surgery, your body goes through a stage known as the “drop and fluff” process. This is when your breast implants drop gradually into a more natural position as your tissues relax and adjust to the change. It’s a normal part of recovery and helps your breasts settle into their final shape and feel over time. The length of this process can vary depending on the size and type of implant, where it was placed and how your body heals.
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How long does it take for implants to settle?
While every person heals at a different pace, the drop and fluff process can take up to an average of six months. The rate of settling can depend on factors such as implant size and type, where the implants were placed, and how your body responds to surgery.
Weeks 1–3
In the initial few weeks after surgery, it’s common for the implants to sit high on the chest. The skin may feel stretched or tight, and the nipples may appear puffy, giving the breasts a cone-like or pointed shape. These effects are expected as the body adjusts to the implants and begins the early stages of healing. Some soreness and swelling are also common during this period.
Weeks 4–5
During this stage, the implants may begin to drop slightly as the tissues start to relax. You might notice one breast beginning to settle before the other, which can cause a temporary difference in appearance. This is normal and usually nothing to worry about. You may also start to see the breasts soften a little, particularly in the lower area.
Week 6 onwards
From around week six, the shape of your breasts typically begins to change more noticeably. The fullness in the upper part of the breast may reduce, while the lower breast may become rounder and more balanced in appearance. At this point, your body has usually adjusted enough for daily activities to feel more comfortable, although your surgeon may still advise against certain movements or pressures on the chest.
Between 3 and 6 months
By three to six months post-surgery, many people find that their implants have fully settled into their final position. The breast shape should look more natural, with a softer feel and more symmetrical appearance. However, the timeline can vary - some individuals may take longer to settle depending on healing speed, implant placement (such as under the muscle), and how the tissue responds during recovery. Your surgeon should monitor this progress during follow-up appointments to confirm that everything is settling as expected.
How can I get the best outcome during the breast augmentation recovery process?
Your surgeon should provide you with all the details needed for your post-operative aftercare, but this typically includes the following:
Wear compression garments as recommended
Wearing a surgical bra after breast augmentation helps to reduce swelling, support the healing tissues and improve the final contour of the breasts. Surgeons typically advise patients to wear these garments continuously for a period of four to six weeks, although this may vary depending on the surgical technique used and the individual’s recovery. Following your surgeon’s advice carefully during this period can contribute to a more comfortable healing process.
Use proper wound care
Proper care of the incision sites plays a role in preventing complications and supporting clean, controlled healing. Patients should follow their surgeon’s instructions, which often include keeping the area clean and dry, avoiding the application of any unapproved creams or ointments, and watching for changes in appearance. Avoiding direct water contact - such as from showers or baths - can help reduce the risk of infection in the early days of recovery.
Use pain relief as prescribed
Discomfort is to be expected after breast augmentation, but effective pain relief can help make the early stages of recovery more manageable. Surgeons may prescribe or recommend over-the-counter medication to control pain and reduce inflammation. Patients should follow dosage instructions precisely and contact their surgical team if the pain worsens or doesn’t improve over time.
Avoid strenuous activity
Activities involving heavy lifting, intense cardio or significant upper-body movement should be avoided for several weeks following surgery. Strenuous activity can place unnecessary pressure on the healing tissue, disrupt implant placement and increase the chance of complications. Gentle movement and walking can aid circulation, but anything high impact or high intensity should only be resumed when your surgeon confirms it is safe.
Eat a healthy, balanced diet
Nourishing your body with a balanced diet can support tissue repair and energy levels during recovery. Lean proteins, fruits, vegetables and whole grains can provide the nutrients needed for effective healing. It’s also helpful to avoid sudden weight loss, as it may impact the appearance of the breasts post-surgery and place strain on the body when it is already working to heal.
Avoid alcohol and smoking
Alcohol and tobacco can interfere with the body’s healing response. Smoking reduces oxygen levels in the blood and can impair wound healing, while alcohol may increase bleeding risks or interact negatively with prescribed medication. Avoiding both for at least several weeks before and after surgery is commonly advised to help support recovery and reduce complications.
What are the signs of complications?
Although some discomfort and swelling are common in the early stages of recovery, certain symptoms may point to something going wrong. It’s important to know what to look out for, as some issues may be the result of surgical negligence - particularly if your surgeon failed to provide proper aftercare, used the wrong technique or carried out a procedure that wasn’t suitable for your body.
If you experience any of the following, contact your surgeon as soon as possible:
Unexpected scarring
If scarring appears in a location, size or pattern that was not explained to you before surgery.
Redness, discharge or an unpleasant odour from the incision area
These may be signs of infection, especially if the discharge is yellow, green or smells unpleasant.
Breast asymmetry
Uneven breast size, shape, nipple height or areola position may indicate poor surgical planning or performance.
Symmastia
This happens when implants shift across the breastbone and meet in the centre of the chest, forming a ‘uniboob’ appearance. It may result from the implant pocket being placed incorrectly or made too large.
Midline shift
If one or both implants drift towards the centre of the chest, this could be due to inadequate support within the implant pocket or poor positioning during surgery.
Waterfall deformity
This occurs when natural breast tissue falls below the implant, creating a ‘Snoopy nose’ shape. It can be linked to improper implant placement or surgical technique.
Double bubble
This refers to when the implant sits below the natural breast crease and creates a second fold. It may indicate that the implant was placed incorrectly or that the natural anatomy was not fully considered.
Areola stretching
Stretching or distortion of the areola may suggest the wrong surgical method was used, such as failure to apply a suitable round block suture.
Persistent droopiness
If the breasts continue to sag or appear droopy after surgery, this might mean the procedure performed was not appropriate for your body type or level of existing ptosis.
If any of these symptoms arise, it may indicate a complication that needs further care. In some cases, they could also point to a failure by the surgeon to meet their duty of care before, during, or after surgery.
What can you do if something's gone wrong?
While some complications may happen even when surgery is carried out correctly, issues that arise because your surgeon failed to meet their duty of care may be classed as negligence. This includes situations where you were not fully informed about the risks, where the wrong surgical approach was taken or where post-operative care was not properly carried out. If your breast surgery has gone wrong and you believe this is due to mistakes made before, during or after the procedure, you may be entitled to claim compensation.
At Cosmetic Surgery Solicitors, we specialise in helping people who have suffered due to negligent plastic surgery. We understand how distressing the experience can be, and we’re here to help you take the next step. We can gather your medical records, consult with independent experts, and build a strong case on your behalf. Our team will also handle all communication with the other side, aiming to secure the compensation you deserve for the pain, distress or additional treatment you’ve had to go through.
We’ve helped many people in similar situations and can support you throughout the claims process with understanding and professionalism.
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