Breast Augmentation: Q&A

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Smaller Breast is Now Larger and Very Firm Post-op

I was very flat to start with only a AAA on the right and nothing on the left. My surgeon put in 250 mentor plus, leaving the right at 250 and pumping the left to 315. Two days post op, the left is much larger and firmer. Could too much have been put in? Also will it always feel firmer than the right? Thanks.

9 Doctor Answers | Asked by Belle22 in home
+2

Implants

If your surgeon over  filled the left implant and they were the same type of implant, then yes, it will always feel firmer.
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VIDEO; Exercises to help soften implanted breasts

Placing a larger implant into a smaller breast will always make that breast feel firmer and harder. Generally speaking, it may take 9 months to see the skin soften and the breast settle. Implant displacement exercises, performed more on the left side,  may help expedite the process if recommended by your surgeon. I have attached a video. see video
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The amount of saline injected in the left implant is the most likely cause of your problem.

There are a few possible explanations for your situation. You say that your surgeon placed a Mentor 250cc  moderate plus implant filled to 250cc on the right and 315cc on the left. This implant is ideally designed to fill to a maximum of 300ccs so it has been slightly overfilled. Overfilling is a common and acceptable technique, However, in doing so the implant becomes more firm and tense then when filled to the company recommended volumes. This overfilling very well might... more

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Overfilling Saline Implants

The use of adjustable saline implants can be very useful to achieve symmetry. When an implant is overfilled the characteristics of the implant change.  There can be a slight change in shape  as well as a change in the feel of the implant.  It becomes firmer.  The tradeoff in your case is more even and larger breast with one being slightly firmer. Dr. ES
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Implant Stiffness is the Cost of "Over-Filling" an Implant

Regarding: "Smaller Breast is Now Larger and Very Firm Post-op I was very flat to start with only a AAA on the right and nothing on the left. My surgeon put in 250 mentor plus, leaving the right at 250 and pumping the left to 315. Two days post op, the left is much larger and firmer. Could too much have been put in? Also will it always feel firmer than the right? Thanks" Sorry to hear about your predicament. As Plastic surgeons we are forced to do the best we can... more
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Changes Soon After Breast Augmentation

With different breast implant fill volumes, you will see some difference in the size and shape of the implants rleated to the degree of difference.  However, a significant change with firmness, often bruising on one side and a difference from the original, you cannot rule out or exclude a hematoma - bleeding into the breast pocket. I would contact your surgeon for a definitive answer as this can only be evaluated in person by a trained professional. Best of luck Vincent... more
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Please send pictures

It is impossible to give you a good answer without picture or examination. Have you called your doctor? Please discuss your concerns with your plastic surgeon.
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Larger firm breast

You may have a blood collection, especially if this is significantly different from how it was right after surgery. I hope by now you've hurried back to see your surgeon! Good luck!!
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Very Firm Breast 2 Days Post-op Could be Hematoma

It is difficult without a photo, but significant asymmetry and differential firmness could represent a hematoma and you should contact your plastic surgeon right away.  There are other possible explanations, but if it is a hematoma it should be treated without delay.
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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.

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