Drop and Fluff

I am currently 5 weeks post op with 400 silicone HP implants. I've noticed that the size has gotten smaller due to the swelling reducing. I've lost about an inch overall in circumference and was wondering if they might get bigger once the implant fully drops into place. They look so much smaller than I had anticipated but I'm assuming it's because the muscle is still pressing against the implant...

Doctor Answers (8)

Muscle stretching after breast augmentation


Over time the muscle will stretch allowing the implant to drop and increase anterior projection. After about 6 mos. the final appearance will be achieved. If you are still not satisfied, then you might consider a larger implant. Good luck!

Texas Plastic Surgeon
5.0 out of 5 stars 129 reviews

Swelling after breast enlargement


There is always swelling after implant placement that will take at least 3-4 months to resolve and often as long as 6-7 months. I always tell my patients not to fall in love with the way they look immediately post-operatively because it will change. So try to be patient and wait for your size and shape to finalize. In the mean time you can talk with your surgeon about your concerns and he/she will be able to help you evaluate your swelling and discuss possible future revision. Good luck--it's hard to be patient!

Margaret Skiles, MD
Sacramento Plastic Surgeon
3.5 out of 5 stars 10 reviews

Implants now smaller


This is normal.The amount of swelling will vary from one patient to the next.they should pretty much stay this way however they may fall down a little and will over time but I don't think they will get bigger.

Robert Brueck, MD
Fort Myers Plastic Surgeon
5.0 out of 5 stars 26 reviews

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Implants and postoperative size.


The placement of large implants such as 400cc HP will require some time for tissue stretch to occur. The volume doesn't actually change over time, but the shape will. This change in shape often leads to more projection as the breast relaxes and gives the appearance of more volume. As with many surgeries, your final results will take several months before they become apparent.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 12 reviews

Breast Implant Recovery


At just 5 weeks after surgery, you will still see positive changes over the next few months.  As the swelling resolves, the breasts may look slightly smaller.  They will not look larger as time goes on.  In most cases, I suggest that patients choose an implant size slightly larger than they like since in the office since once the implant is placed in the body it looks slightly smaller.  Also, after surgery, many patients get used to the look of the swollen breast and wish they had stayed larger as the swelling resolves.


Good Luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 57 reviews

Breast implant settling


It takes about 3-4 months for all the settling to occur after breast augmentation.  Try not to worry about size in the meantime.  Realize that with HP implants, if they fit your base dimension well, you have the biggest result your body will allow even if you had imagined a larger result. 

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 51 reviews

Wait 3-4 months before assessing results

When breast implants are first put into your body, they typically sit higher up in the chest. This is because it’s the path of least resistance – your body requires some time to adjust to their presence, regardless of whether they’ve been placed in a sub-mammary (between breast tissue and chest muscle) or sub-muscular (under both the breast and chest muscle). Immediately following surgery, you’ll find that your newly enhanced breasts appear very full and swollen, especially in the upper portion above the nipples. Your skin will most likely look very tight and your nipples may point slightly downward as well. This may make the shape and overall appearance of your breasts appear unnatural. Don’t worry, because they will change for the better, something casually known as “dropping and fluffing”.

As your body accommodates to your new implants, you’ll notice that your breasts will gradually look more and more natural – the way you hoped they’d be! Over the course of about three to four months, your body creates new skin to accommodate the additional volume of your implants. This natural process is called “tissue expansion”, and relieves the tightness you may be experiencing. It allows for the implants to settle more into a better position with the help of gravity. A gradual redistribution of volume from the upper to the lower breast occurs, resulting in an enlargement and rounding out of the lower breast.

Although it's often called "dropping", it is more like "redistribution". The "fluffing" part refers to the impression that the lower breast enlarges and that your skin softens with the creation of new tissues. The extent to which this occurs depends on several factors, including the implant size, the tightness of your skin, and your body shape.

This takes longer in patients with smaller breasts and tighter skin. Ask your surgeon if a bandage wrapped around the top portion of your breasts can help.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 69 reviews

Drop and Fluff after Breast Augmentation?


Congratulations on having undergone the breast augmentation procedure.  No one will be able to predict exactly what cup size you will wear or whether the breast will look slightly smaller or slightly larger in the longer term. Variables involved include the presence of swelling currently and the disputed phenomenon called “dropping and fluffing” that occurs after several weeks. In my practice, I have seen this phenomenon occur; the breasts appear larger as the implants "settle". 

It may be helpful to you to know that many patients, shortly after breast augmentation surgery is performed, feel their breasts are “too small” or “too big”, only to be very pleased with the longer-term outcome of the procedure performed.

 At this point, I would suggest continued patience and continued follow-up with your plastic surgeon.  Stay emotionally even keeled during the process of physical and psychological “adaptation” to the new body image that occurs for any patient undergoing body contouring surgery.

Best wishes; hopefully you will be very pleased with the longer-term outcome of the procedure performed.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 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.