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Is Most Swelling Gone 1 Week Post Op Augmentation and Lift?

I had a vertical breast lift and augmentation 1 week ago. I was a A cup before surgery and requested to be a small C cup. I am happy with the current size, but I am afraid that I will think they are too small after all swelling subsides. Should most of the swelling be gone one week post op? My surgeon used 300 cc round moderate plus profile mentor gel implants. Should this take me from an A cup to a C cup? I weigh 113 pounds and I am 5'4.. feeling like I should have gone a little bigger?

Doctor Answers (4)

Can't rely on cup size for months. Swelling varies from patient to patient.

+1
Dear Faith, Thank you for your post. It is very common to be about a size bigger right after surgery than what your final result will be. Swelling starts to occur right after surgery and tends to peak in the first week. After about a month you will have lost most of the swelling, but still not completely at baseline. After about another 3 months or so, you will have lost 99% of your swelling, but still you have a pretty good idea at 1 month. I wouldn't spend a lot of money on bras until 3 months as they might not fit perfectly after all the swelling goes away. Also, the more activity you have, the longer the swelling stays, the more that needs to be done as far as lift etc. with surgery, the longer your swelling stays. Breast tenderness and hardness can also remain due to the swelling. the breasts should become much softer once the swelling is mostly gone. Also, it should be said that amount of swelling can vary from patient to patient. Some patients swelling a large amount, some very little. Best Wishes! Pablo Prichard, MD


Phoenix Plastic Surgeon
5.0 out of 5 stars 28 reviews

Breast implant Size and Cup Size?

+1

Thank you for the question.

The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size.  This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone  and low/moderate/high profile), bra  manufacturer variance  in cup sizes, the  degree  of filling of the cup  with breast tissue,  and the subjective differences in patients perceptions of cup size. 
Much of the final “look” achieved after breast augmentation surgery  depends on several factors:

1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the  preoperative breast appearance the more likely the breast augmentation “look” will be optimal.


2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing  long-term  well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone)  or model (low/moderate/high profile)  of implant.

3. The type of implant used may  determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have.  If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants.  If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference.  Patients may need an MRI to diagnose a silicone gel rupture.   Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational.
As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.


4. The size and model of breast implant used may  make a  significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.



Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 759 reviews

How long does swelling take to resolve after breast lift and augmentation

+1

One week is not long enough for the swelling to resolve...it can take weeks for the acute swelling to diminish, and a small amount of tissue thickening can take a few months to resolve.  Some of this does not necessarilly result in a major change in size, but instead a relaxation and softening of the tissues and hopefully a more natural look and feel.  I would not suggest spending much money on expensive bras for a at least 6 weeks!

Robert M. Grenley, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 70 reviews

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Post breast augmentation

+1

Usually the swelling after a breast augmentation does not go away within a week. Perissitent swelling can last for several weeks andminor swelling may require a few months to go away.

Steven Wallach, MD
Manhattan Plastic Surgeon
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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.