After breast augmentation, it is common for implants to appear higher on the chest than expected. This is a normal part of the healing process known as “high riding implants.”
Understanding why this happens—and when they will settle—can help ease concerns during recovery. Board certified plastic surgeon Dr. Eugene Kim provides breast augmentation to patients in Beverly Hills, Los Angeles, Santa Monica, West Hollywood, CA, and surrounding communities.
Why Implants Sit High Initially
Several factors contribute to this temporary appearance:
- Swelling after surgery
- Tight chest muscles, especially with under-the-muscle placement
- Limited space in the implant pocket immediately after surgery
The body needs time to adjust and allow the implants to settle into a more natural position.
What Is “Drop and Fluff”?
“Drop and fluff” refers to the process where:
- Implants gradually descend into a lower position (“drop”)
- The breast tissue relaxes and softens around the implant (“fluff”)
This results in a more natural shape and contour.
Timeline for Implant Settling
First Few Weeks
- Implants appear high and firm
- Swelling is most noticeable
4–8 Weeks
- Implants begin to lower
- Breasts start to soften
3–6 Months
- Final position and shape become more apparent
- Natural movement improves
Factors That Affect How Quickly Implants Drop
- Implant placement (under vs over the muscle)
- Skin elasticity
- Implant size and weight
- Individual healing response
When High Implants May Be a Concern
While high implants are usually normal early on, you should consult your surgeon if:
- Implants remain high after several months
- There is significant asymmetry
- The breasts feel unusually tight or uncomfortable
Can Anything Help the Process?
Your surgeon may recommend:
- Gentle massage techniques
- Supportive garments
- Following all post-operative instructions carefully
Final Thoughts
High-riding implants are a normal part of breast augmentation recovery. With time, patience, and proper care, implants typically settle into a natural, balanced position.
Understanding the healing process can help you feel more confident and reassured as your results develop.
Contact the Office of Beverly Hills Plastic Surgeon Dr. Eugene Kim
Click here see more plastic surgery procedures and treatments performed by Board Certified Plastic Surgeon, Dr. Eugene Kim on patients in Beverly Hills, Los Angeles, West Hollywood, Santa Monica, CA and surrounding areas or call 310-271-6996 to schedule a consultation.