5.5 months post op. Will my breasts “drop and fluff” more to create cleavage? (Photo)

Dear 111.222,
dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position. If after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gravity will have some effect over time on your implants. Wearing good support is the best means of avoiding bottoming out. Your implants appear to be in good position. Adding an implant won't lead to a fluffing effect on your breasts where the breast increase in size.

Thank you for your question. You have a very nice result and it will not change much. The implants are not riding high. The limit to how far toward the middle the implant can sit has more to do with your anatomy and the attachment of the muscle to the sternum. These attachments have to remain in place or you'll end up with uniboob (symmastia). The bra is what creates cleavage in the majority of women. It is a bit of a paradox, but HP implants often have less upper pole fullness than some of the lower profiles, because the implant is shorter and has a more abrupt takeoff. The size of your implant seems appropriate with regard to the dimension b/c any larger would mean wider and you would be left with more side boob rather than having volume where you wanted it. A larger implant will also be heavier which will further stress you natural breast envelope and increase your risk of malposition and asymmetry. These things increase the risk of revisions in the future. Hope this helps

Thanks for submitting your questions and photos! I’m sorry to hear that you’re not quite satisfied with your results. At 5.5 months out, you may notice a small amount of settling over the next few months, but it won’t be significant enough to provide more upper pole fullness or cleavage. Based on the info and photos submitted, you may be a good candidate for an implant exchange. In order to achieve more upper pole fullness and cleavage, you may need to increase the size of your implants, as well as the width and height. There are implant manufacturers that make extra high profile which may be a good option for you. I highly recommend you see a board certified plastic surgeon to go over all of your options and create a custom surgical plan that will get you the look you want. Good luck in your recovery and thanks again for reaching out!

Bigger implants will achieve more upper fullness and make it easier to create cleavage in clothes. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thanks for your question! Unfortunately, they won't change much more after 5 and a half months. Replacing with a bigger, wider implant will definitely help to achieve more cleavage. You may also be a candidate for fat grafting if you're relatively happy with the implant size. Good luck!

Your implants have settled for the most part. If you look at your before photos, you will probably see that your breasts are somewhat far part. The bases of your breasts cannot be moved. I think this size looks great on you and I do not recommend going larger. The firmness you are feeling is the implant since you did not have much tissue prior to surgery and what you have has been stretched and thinned with implants. You do have upper breast fullness. However, your breasts naturally sit somewhat low on your chest, and again the bases cannot be moved. For your anatomy, you have a very nice result.

At five and half months post op you are close to your final result. The space between the breasts is determined by the width of your breast bone. There are tricks to help make the breasts appear closer, but ultimately it is largely impacted by your anatomy. I encourage you to visit with your surgeon to discuss your concerns.

There are three primary variables that determine breast augmentation outcomes.
They are.
1) the patient’s candidacy for the procedure2) implant selection3) how the procedure was technically executed.
To understand your candidacy for the procedure we generally need to see a complete set of proper before and after pictures. From the pictures you’ve included your breast is it further apart on your chest wall and placing implants under the breast doesn’t change where are your breasts sit on the chest wall. Your breast are also slightly divergent.
High profile implants, have smaller base diameters at the cost of giving more projection. and the same size, a lower profile implant would be wider. A wider implant may have been more advantageous if you wanted more fullness towards the midline.
Your implants are placed correctly and do not need to be adjusted.
The outcome is a direct reflection of your candidacy for the procedure.
The plastic surgeon cannot move the breast on the chest wall or change lateral diversion.
Best,
Mats Hagstrom, MD