Will Breasts Look Bigger After They Drop?

I got my breasts done a little over 2 weeks ago. I am 5'5, 116 lbs. My doctor and I decided to go with 450cc saline, high profile. However, after my surgery he told me he filled it up to 450 but went back down to 435cc because the 450cc looked too big. Its been 2 weeks now and I still wished he went 450cc, will they look smaller the more they drop?

Doctor Answers (15)

15cc Difference in Breast Implant Size

+3

Don't fall in love with a cc.

15cc is one tablespoon.  It is 3% of the volume of a 450cc implant.  After surgery, implants are often swollen, high and a bit goofy looking.  They need time to settle.  The last thing you want to do is go in too early, (during the inflammatory response after surgery).  Give it time and stay in contact with your plastic surgeon.  He will guide you through the process.


Las Vegas Plastic Surgeon
4.5 out of 5 stars 9 reviews

Need time to allow the implant to drop into position

+2

The implant shape may change but they will not looks smaller as they drop. At this point you just need to wait and allow gravity and you tissues to accommodate to the implant volume. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 10 reviews

Breast swelling immediately after augmentation

+2

Interestingly from your perspective the breasts will look smaller as they drop because you are looking down at the excessive upperpole fullness. From a frontal view or other people' perspective they may look high and not normal but fuller as they drop into the lower pole of the breasts. Some studies have shown that you may retain as much as 10-15% swelling for 6-9 months after surgery. The 15 cc is no big difference.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

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Breast Appearance after Dropping

+1
Most patients perceive the breasts to look smaller after they drop. The reason is that the fuller the upper breast the larger people perceive the breasts to be - think push-up bra. 

As far as your situation, 15cc is 1/2 of an ounce. I highly doubt that anyone, me included, would be able to tell the difference in a 435cc implant and a 450cc implant. I would suggest patience; at this point (two weeks post-op) you should let things heal and settle in and not be anxious about the final result.

Michael B. Tantillo, MD
Boston Plastic Surgeon
5.0 out of 5 stars 18 reviews

Too early to evaluate the outcome

+1
The implants have a tendency to look larger after they drop.  You are very early after surgery, so there is some settling still.

Gary Lawton, MD, FACS
San Antonio Plastic Surgeon
5.0 out of 5 stars 23 reviews

435 vs 450cc

+1
Your breasts will have less volume at the top as they settle, but overall should not look smaller. At two weeks you likely have some swelling and as this resolves you may look smaller. 15cc is about one tablespoon of volume - don't fixate on the number. If after several months you are unhappy with your size, discuss it with your plastic surgeon. Best wishes.

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 75 reviews

The Recovery Period Following Breast Augmentation Is Characterized By Rapid Change

+1

         The period of time immediately following breast augmentation surgery is characterized by rapid change.  During this dynamic phase of healing, swelling, muscle spasm, and the healing process itself all contribute to changes in the appearance of a women’s breast.  In some cases swelling and muscle spasm can displace the breast implants in a superior direction when implants are placed beneath the muscle.

        

         When swelling and muscle spasm resolve the implants will drop into a more normal position.  When this occurs patients lose some of their upper pole breast fullness and frequently they perceive this as making their breast look smaller.

 

         Resolution of swelling is a more complex issue.  Obviously, when breast tissue becomes less swollen, the breast ultimately looks smaller as well.  This is often offset by resolution of swelling in the surrounding tissue.  Resolution of swelling in the surrounding areas can bring greater definition to the breasts and actually make them look bigger.

        

         It’s important to remember that 15ccs represents a tablespoon of liquid which is layered over the implant in three dimensions.  This would have a minimal impact on breast size.

 

         The interactions of these variables in the immediate post-operative period make decisions about breast size very difficult.  For this reason, decisions regarding size should be delayed until this dynamic process has run its course.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 89 reviews

Drop and Fluff after Breast Augmentation Surgery?

+1

Although I cannot provide you with precise advice, I can tell you that patients generally do not "lose a cup size" as the healing process continues.  In my practice, I find that as breast implants “settle” (drop and fluff),  over the course of the first few months, patients feel that their breasts appear larger.

Best wishes,

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 791 reviews

Appearance of breast augmentation

+1

For your height and weight, I would say that any implant in the 400cc range is generous for you.  Please don't fret too much about 15 cc.  That small volume is barely perceptible.  And, I would not expect your implants to look bigger or smaller after settling out.  But, that may depend on how much swelling and bruising is present.  When they are high riding, they may seem more projected.  When they settle, you may actually see more surface area of the breast when looking at your chest standing in front of a mirror.  The illusion of seeing more surface area (a longer seeming breast) sometimes gives people the impression of a bigger breast.  But, the overall true volume will not change and you will probably look the same in a bra at all points in time.  And, you have a generous breast augmentation for your frame either way.

Jennifer Lauren Crawford, MD
Austin Plastic Surgeon
5.0 out of 5 stars 8 reviews

Swollen breasts after breast augmentation

+1

Immediately after breast augmentation, breasts are swollen and high riding.  The swelling should decrease in 1-2 weeks.  The implants will settle in their pockets in 6-8 weeks.  As the implants settle, your breasts will have more, natural shape; however, they will not look bigger. 

Sugene Kim, MD, FACS
Houston Plastic Surgeon
4.5 out of 5 stars 40 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.