Understanding Skin Tightness and Early Changes

At one week after silicone breast augmentation, it is common to experience firmness, tightness, and in some cases, mild skin tethering.

These findings are part of the normal early healing process and do not indicate a complication.

Case Overview

In this case:

Motiva Ergonomix II 235cc implants were placed in the subglandular plane.

At one week post-operatively:

The implants are positioned slightly higher than their final position

Firmness and tightness are present

Mild skin tethering is observed when the breasts are compressed

Why Does Skin Tethering Occur

Early post-operative tethering may result from:

Tissue tension following implant placement

Temporary adhesion between dissected layers

Incomplete settling of the implant

These are expected changes during the initial healing phase.

Natural Course of Recovery

At one week, the breasts are still in the early stage of healing.

Around one month, the tissue begins to soften

Around three months, the implants settle into a more natural position

In most cases, skin tethering improves gradually over time.

Options if Improvement Is Limited

If the condition does not improve sufficiently, several options may be considered.

Fat grafting to create a soft layer over the implant and improve contour

Adjustment of the dissection plane to release tension or adhesions

Implant exchange to optimize size, shape, or positioning

AVAN TOKYO’s Approach

At AVAN TOKYO, breast augmentation is designed not only for immediate results but also for long-term evolution.

We carefully plan:

Initial tightness and positioning

Gradual implant settling

Final softness and natural movement

What Defines a Natural Result

A natural breast should:

Appear soft and balanced

Move naturally with the body

Maintain a smooth contour in all positions

This requires harmony between the implant and surrounding tissues.

Final Message

One week post-operative changes are part of the normal process and should not be mistaken for final results.

Understanding the healing timeline is essential for achieving optimal outcomes.

At AVAN TOKYO, we provide comprehensive care, including long-term follow-up and corrective options when needed.