worried my boobs stay like this, the bottom is empty and the nipples are low. Is this the end result? (photo)

Thanks for your question, and for including your photos, they really help! In my experience of doing thousands of breast augmentation surgeries, I’d say not to get too concerned at 2 weeks post op. A lot of surgeons implants do the whole “drop & fluff” thing that I read about all the time on RealSelf, & yours probably will also. Ask your surgeon about implant massage: I do it for all of my patients, & I think that it really helps. Give it about 6 months before final judgment; I think that you’ll be fine. Best of luck to you! 

Hi ajlassi,

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 early stages of the healing process at 2 weeks post op.

You 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. Also, your breasts can drop at different rates.

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 the possibility of revision surgery.

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, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

Your implants are behind the muscle and not in your breasts. They are simply stretching  your muscle and pushing your empty breasts downwards. This is called double bubble effect. You need smaller implants and breat lift. Also you will get a better look with silicone gel implants placed in front of your muscles, behind your breasts. That way implants can fill in your empty breast skin and not just push it down and give you a natural appearance. 

Thanks for sharing your question. I can appreciate your concern.

It is to early to determine the final outcome. You may have a nice result if the implants settle down. However the perfect look that you are looking for will only come with a lift. Be patient and give it some more time 3-6 months at least.Finally, make sure that your doctor is aware of your process. She/He should be able to guide you best in your care.
Wishing you the best in your journey

IMPORTANT DISCLAIMER: It is difficult to say what is exactly happening with your case without a physical examination, testing or having done your surgery. It is imperative that you have a thorough examination by a board-certified surgeon. Only then, you may weight better the options to fix your current concerns.

Thank you for your question. You are in early healing phase. Your breasts will continue to change. Implants drop. How they look depending on how much ptosis(sogginess) you have before. Please continue to f/u with your PS and re evaluate in 3 months.

2 weeks after surgery is very early.  There is still significant swelling and the implants have not settled yet.  Follow up with your plastic surgeon is important to make sure you are on the correct healing course.