750cc saline under the muscle. I just had my surgery last Wednesday and I look very buff and flat chested?

Congratulations on your surgery. You are very early in the post operative period, and it is to early to judge your results.  Large implants placed under the muscle will have a flattening appearance early on.  Your final results will occur about 6 months post surgery.  Be patient as the implants will settle, and your skin and muscle will relax.

Congratulations on your recent surgery.  750 cc implants are considered to be fairly large which would give you a noticeable enlargement.   Implants that are placed under the muscle will take time to settle and do appear smaller right after surgery.  Give your body some time to adjust and relax to your new implants and follow your plastic surgeons post op instructions to obtain the best result.  Good luck.

Hi newme289,

I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process.

Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.

At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.

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.

But if you are still concerned, you can always visit your plastic surgeon and discuss your concerns. This way, you will be reassured. Also, if after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.

Lastly, follow your plastic surgeons post-operative instructions and advice for faster healing and recovery.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery 

Member, Am. Society of Plastic Surgery

When implants are placed beneath the pectoralis major muscle, the muscle goes into spasm for some time which will blunt the effect of the implants. As the spasm and swelling resolve, the implants should drop and come forward. Hang in there and follow up with your surgeon.

At one week you are only about 4 percent shaped. Your muscle has the implants pressed flat. "Drop and fluff" refers to the fact that as the skin stretches and the muscles relax, the implants move down and out slowly – about 1 percent a day. It’ll be about six weeks before they even begin to settle down, but they’ll be close to 80 percent settled at three months. Watching their progress is like watching your hair grow. You don’t see a difference in your hair growth daily, but all of a sudden you need a haircut. 
Be patient after surgery. Give yourself a few months before making a judgment about your surgical results. You won't know the outcome until then.
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

Without before and after photos, it is difficult to provide a specific response to your question.  This is a very large augmentation, and the body will take several months with massage to determine the final result.  Larger implants tend to drop slower than smaller implants.  They usually will fall to their final position in 6 to 12 months and the lower pole may look fuller. It is not unreasonable to increase the size by about 10% due to compressive forces under the muscle.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

The implants that you have are among the largest available.  
Sub muscular placement can dampen the projection of the implants , particularly if you have strong pectoral muscles.  This will improve with time.  The projection also is a function of the profile of the implant.  Moderate profile implants tend to have a flatter  look, but many plastic surgeons use them for submuscular placements.
Your implants will change over time, so be patient.

Dr Vitolo

First of all, congratulations on your recent surgery! It is very early in the healing process to start assessing your results. The average patient looks their best around 6 months post-operatively. Since the implant was put under the muscle the implants will settle into place slowly, but will ultimately give a beautiful appearance. Try and be patient and know that your breasts will appear very large very soon! 

You should wait 6 months to evaluate your results. At this time the muscle and breasts are tight and swollen causing the flattened appearance to the breasts. Over 6 months, the muscle and breasts will soften and the implants will settle. Best wishes,Dr. Ravi SomayazulaBoard Certified Plastic Surgeon

Since the implants are under the muscle you my be seeing a flattened effect.  Your look will change as healing progresses, the muscle relaxes, and the implants drop into the pocket.  I recommend discussing your concerns with your surgeon.  it can take 3-6 months for final results from a breast augmentation.