320cc Subglandular Silicone, 3 Wks Post-op. I Know They'll Drop, but Will They "Fluff" Too? (photo)

Hi there, I was curious about this "dropping and fluffing" phenomenon. Do implants over the muscle (particularly subglandular like mine) fluff like unders do? I'd love for that to happen since I am one of the many that kind of enjoyed the size I had with swelling. Thanks in advance for your help!

Doctor Answers 6

"Drop and fluff"

Dropping:  Submuscular implants are sitting as if they are at the bottom of an envelope. The breast fold, like the bottom of the envelope keep the implants from descending. At the upper pole is a large space under the muscle and above the ribs, and that space goes up to the clavicle (collar bone). Typically the implant position looks fine at surgery. As the patient awakens, the relaxed pectoralis muscle contracts, pushing on the implant. This displaces the silicone (or saline) which bulges into the upper pole, the only direction with room to expand. The lower pole of the breast may seem to empty out. But the implant itself doesn't actually move. As the muscle relaxes over several months, the upper pole no longer bulges and the implant position looks like it did in surgery.


This is not a phenomenon that is seem with implants placed above the muscle. There can be some lowering of the implants as the lower pole skin stretches in response to the weight of the larger breasts. 

I am not familiar with the term fluff. I looked for a useful definition on various websites, but the definitions are all over the place, and not helpful, so I will pass on that half of your question. 
All the best.  

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Fluffing and Dropping after Breast Augmentation

    Subglandular implants may drop after 3 weeks.  However, submuscular implants tend to do more dropping than subglandular.  I am uncertain of the reference to fluffing. 

Fluffing Will Also Occur

When implants are first inserted, they sit high up because your tissues are tight and gravity hasn't taken effect. Over time, natural tissue expansion occurs to allow the implants to fall into place. By this time, your breasts will have taken on a more natural contour, where the lower breasts become softer and rounder. Please wait at least four months for this to happen.

Breast Implants

Those are not great terms to use, implants under the muscle will come down in a few months and implants under the breast tend to stay still. Both will have swelling that will come down

Implant position

Submuscular implants tend to sit higher initially because of muscle spasm than those in a subglandular pocket. 

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

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