Why Do my Breasts Look Very Funny After Surgery, Smaller and Spaced Apart? (photo)

Your post-operative pictures demonstrate severe swelling with poor definition of anatomic structures. For this reason, it's virtually impossible to make aesthetic judgements about your breasts two days following breast augmentation surgery. This period of time is characterized by rapid change. During this dynamic period, swelling, muscle spasm and the wound healing process itself all contribute to changes in the appearance of a woman's breasts.Patients undergoing breast augmentation can anticipate significant swelling in the immediate post-operative period. This swelling resolves quickly with the vast majority being gone in about three weeks. Almost all of the visible swelling is gone in 4 to 6 weeks, but small amounts of residual swelling may be present for up to 3 to 4 months following surgery.Compression bras and dressings are frequently used following breast augmentation to minimize swelling. Swelling can add to a patient's post-operative discomfort. It can also increase anxiety regarding breast size and shape immediately after surgery.For these reasons, we feel it's important for the patient and the surgeon to have good communication regarding this topic immediately following surgery. In this situation, a little reassurance can go a long way towards making this a more comfortable experience.

2 days postop. is way too early to make any judgements regarding final outcome.  The soft tissues need to stretch and allow things to settle down.  The implants do need to be positioned over the nipple, however, and your own natural tissues, size of implant and type of bra will all determine amount of cleavage. 

Thank you for the question and pictures.

As you have stated, it is much too early (2 days out of surgery)  to evaluate the results of your breast augmentation surgery. It is very likely that during the next few weeks/months the breast implants will “settle” and the nipple/areola complexes will sit higher on the breast mounds.

It does appear based on your pictures that the breast implants have been positioned correctly below the nipple areola complexes. The space between your breasts  is the natural spacing that exist between your breasts before surgery. If your plastic surgeon attempted to change this distance significantly,  you may have ended up with a complication such as medial breast implant malposition.

Although easier said than done, I would suggest that you not worry about the appearance of the breasts at this point;  understand that they will be undergoing significant changes in the next few weeks to months. In my practice, I ask my patients to wait at least 6 months before evaluating the end results of surgery.

I hope this helps.