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 16

Need time to allow the implant to drop into position

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. 


Atlanta Plastic Surgeon
4.5 out of 5 stars 13 reviews

15cc Difference in Breast Implant Size

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.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 11 reviews

Too early to evaluate the outcome

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

The Recovery Period Following Breast Augmentation Is Characterized By Rapid Change

         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.

Breasts long term look

usually the breasts are maximaly swollen for the first week or two and then the sweling goes down. So in all likelihood they will look slightly smaller.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

They'll look more natural

Congratulations on your breast augmentation! You should wait for at least 3-4 months for your breast implants to settle before you assess your results. Please wait until then, as your breasts will gradually round out at the bottom for a more natural breast contour ('drop and fluff'), rather than look smaller. 

Breast Appearance after Dropping

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
4.5 out of 5 stars 23 reviews

435 vs 450cc

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 91 reviews

Drop and Fluff after Breast Augmentation Surgery?

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,

Appearance of breast augmentation

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.

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.