Implants Don't Seem Big Enough! Will They Eventually Get Bigger?

Two things happen and seem paradoxical. As as the swelling goes down there will be some shrinkage but at the same time as the muscle relaxes your breast projection grows. In general the breast shape and size proportionality improves..Breast implants initially after surgery when placed in a submuscular position often give superior fullness that corrects itself with time, the "fluff and drop" phenomena. In reality the pectoralis major muscle takes a while to adjust its size to accommodate the implant as well as occasional muscle spasm which keeps the implant projection higher than its final resting shape. Additional variables include:laxity of skin, size difference during prior pregnancies, position of implant,size of muscle, and size of implant.As the muscle relaxes the projection of the implant often increases and the breast shape improves. Massage and use of a superior placed elastic strap can often make this process go faster.

Thank you for your questions.  Breast implants take about 6-8 months to settle down completely.  Your in the very early stages of the recovery and settling process.  I would recommend giving it a bit more time to settle and then re evaluate with your surgeon.  There are somethings surgeons need to take into consideration when placing an implant.  For example nipple to crease distance, width of the breast, goals etc. Best of luck to you. 

Many thanks for posting your question. It is a little hard to comment specifically in the absence of any photographs. However, you state that you were an A cup, and you have 440cc implants in - in my opinion, these are very large implants for someone starting with an A cup. It might be that it would have been harder to get a larger implant in (as the skin and soft tissues need to be able to stretch and accommodate in the implant) - in addition, the bigger you go, the more future issues you might find yourself having to deal with, due to the weight, size and soft tissue effects of a larger implant.At only 3-weeks after surgery, it is too early to take a view on your result - you really need to wait until 3-months after surgery. Any thoughts or concerns you have can then be discussed with your surgeon.Good luck

Generally it takes about three months for breast implants to settle after a breast augmentation so you will not see your final result until then. Sometimes your skin/tissue will only allow for a certain amount of cc's at the time of surgery, regardless what you or your plastic surgeon planned for.Best wishes,Dr.Bruno

Breast implants never get larger however, as the skin adapts and breasts "drop and fluff" they may seem larger to your eyes. This may take anywhere between 3-6 months after surgery, and the tightness felt early after the surgery will be gone by this time.
Another matter of importance is the fact that you cannot turn an A cup flat chest into a D cup with a single operation. If a big cup size is requested, one should consider a 2-stage enlargement, as the skin needs to adapt to the underlying increase in volume.
Hope this helps,
Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Congratulations on your surgery.  Now is a time to relax and heal and you will enjoy your results in due time.  It does take about 4 months before the final result is apparent.  During this time the skin and muscle need to stretch and allow room for the implant.  Generally, the implants appear rather flat and wide and with time there will be more protruding (projection) and become more round.One thing to remember is that it is not always possible to get the exact cup size that a person desires.  Every body and anatomy is different and what the body allows should always be taken into consideration.For now, recover and follow your surgeons recommendations and assess your results in 4 months.Hope that helps.

Three weeks after surgery your implants are likely still slightly high. When the implants are in a high position some of the volume is hidden at the top of the breast. As the implant drops you get more volume at the bottom in your breasts will appear more full. Continue to be patient with the selling process and remember that it takes 3-6 months for implants to settle fully.

It is still very early into your #healing which will continue for 2-3 months following your #revision procedure. There may be some swelling, bruising, malposition, color differences. But, it can be up to one year see your final result. Meantime, your doctor may require you to move or massage the implants within the breast pockets during the #postoperative period. #Textured implants do not require breast massage. You will be informed about this at your post-operative visits.Factors which contribute to the outcome are #size, #shape, and #profile.  The #profile is determined by the amount of #projection versus roundness that the you desire, as well as the #size of the implant and size of your chest. Also, the placement or incision location will also have an effect on profile. Another element to a satisfying result of your #augmentation is realistic #expectations. Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. Typically, it's best to wait 6  to 12 months depending on the reason for #revision.You must have patience, but if there are any causes of concern, ask questions of the doctor or the nursing staff.

Thank you for your question. Drop and fluff refers to post-operative period in which the breasts begin to descend and fills out the lower half of the breast. It may take several months for this to happen and can be encouraged with breast massage and compression. It may appear that the breast enlarges as the lower aspect of the breast fills out (at the expense of the upper portion of the breast).  Your breast may appear fuller as they settle but it is more a redistribution of volume rather an increase.

It’s not
uncommon for patients to express concern about breast size in the immediate
postoperative period.Multiple factors
make it impossible to assess breast size three weeks after surgery.Several factors affect the size of
the breasts in the immediate postoperative period.These include swelling of the breast tissue,
swelling of the surrounding tissue, settling of the breast implants, and muscle
spasm.For several months following
surgery, each of these phenomena is undergoing significant change.These factors interact in a complex manner to
create a rapidly evolving situation.It’s
virtually impossible to make decisions about breast size until the situation has
stabilized.In some cases, it may not have been
possible to place a larger implant at the time of the original procedure.During surgical procedures, it’s not uncommon
for surgeons to make compromises to obtain the best possible aesthetic
result.In some cases, utilizing larger
breast implants may cause conflicts with other aesthetic goals.For instance, having large breast implants
might create an unnatural look, which may not be desired by the patient.It may disrupt harmony, balance, and proportion
with other surrounding structures.All of these concerns might place
limits on implant size with this procedure.In most cases, resolution of postoperative swelling results in a
decrease in apparent breast size.Occasionally, resolution of swelling in the surrounding tissues results
in greater definition of the breasts and the perception that they have
increased in size.The vast majority of
patients are happy with their breast size after a brief period of adjustment.Rarely, secondary procedures are necessary
for size.