1 day post op and am disappointed with the size of my BA. When can I replace them?

First, I would tell you to be patient. Your breasts will often look "small" the first few days postop due to the muscle being tight and flattening the implants. They will look larger as they settle and the muscle relaxes. In general, I would not recommend that you consider changing them for at least three months to ensure that you have achieved your final shape and determined how you feel about the size.

In general, most plastic surgeons would not revise a breast augmentation for larger implants until at least 3 months.  It's too early in your recovery to jump to conclusions about the size of the implants.  Wait until six months to assess whether they fit your anatomy.

You should wait at least 6 months before having revision surgery. It takes 6 months or maybe more to see your final result, you may be happy by then. If not, be sure to discuss your concerns with your surgeon. Good luck.

Dear Momi91,,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 at 1 day  post op.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.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question and photographs, and I am sorry that your current results have caused you concern.  After placement of implants, the overall appearance of the breasts will change dramatically over the next several months, as the implants drop, and the overlying tissue stretches to accommodate the extra volume.  Early in recovery the combination of tissue swelling and the volume of the implants causes a flattened, wide, and elevated appearance to the implants, while the lower breast appears empty.  Though your breasts will not get bigger you should see and feel improved fullness as your tissues stretch and swelling resolves.   I know waiting is difficult, but judge your results at 4-6 months after surgery as most of your breast changes should have occurred by then.  You can then determine if a larger implant is a viable option. Hope this helps

You are still very early in the healing process and what you are seeing are not your final results yet. You are still experiencing persistent swelling which can temporarily affect the appearance of the breasts. Your breast tissues are also still tight at this time. It would be best to wait for at least 6 months before deciding to do a revision. This will allow your body enough time to heal and the implants to drop into their pockets. Communicate with your surgeon regarding the healing process so you will be able to know what to expect. Surely, your appearance will still improve over the next coming months.

When this happens, you could certainly have another procedure immediately with larger implants but now you're making decisions 'under the gun' and your tissues will be inflamed and more difficult to dissect so risks are greater for complications.  How do you know just how much larger you must be to be happy?  So rushing into a procedure leaves the door wide open for persistent disappointment.  Most prudent surgeons would simply recommend that you heal first and then decide then if your feelings are still the same or if you adjusted to the benefits from your procedure and no longer feel disappointed.

You are very early in the healing process after breast augmentation. It is much to soon to even think of another surgery at this point. As the implants soften, settle and drop the breast shape will change. It can take 4-6 months before the implants look and feel like they belong to you. Be sure to keep any scheduled follow up appointments you have with your surgeon for his or her evaluation and advice. If you move forward with an implant exchange procedure in the future, express your goals and expectations to your surgeon prior to the procedure and confirm you are both on the same page.
Best,
Dr. B

Sorry to hear that you're not satisfied with your implant size. Please know that it's way too early in the healing process to worry about or be concerned with another surgery. Most patients that are very petite would opt for an implant size similar to yours. Larger implants also come with greater risks. If the implant is too large you may experience symmastia, feeling the implants, rippling etc... Please allow for sufficient time to heal and allow the implants to settle properly. This takes months. 

I am sorry to hear about your concerns after breast augmentation surgery. Your plastic surgeon will always be your best resource when it comes to accurate assessment, advice, and/or meaningful reassurance. 
It may help you to know that a significant percentage of patients at your early stage of recovery will feel that they are too big or (more commonly) too small.
Generally speaking, breast implants will "drop" into the pocket that was created during surgery. The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized. Normally, it takes about 3-6 months (for some patients longer) to see the final result.  Therefore, I routinely ask my patients to wait at least 3-6 months before evaluating the end results of the breast augmentation surgery. This waiting time allows patients to (usually) physically and psychologically adapt to the new body image. 
In other words, it is much too early to evaluate the outcome of the procedure performed; your breasts will undoubtedly change over the course of the next several weeks/months.   The vast majority of patients with your concerns at your stage in the recovery process, turn out to be much happier two to three months after the procedure was performed.  Understandably, patients often experience significant emotional "ups and downs" around the time of surgery.
For example, many of my patients report that as the swelling around the breast implants (for example, in the sternal area) decreases, they feel that their breasts appear more projecting. Also, in my opinion, the "drop and fluff” phenomenon does hold some validity; as breast implants “settle”, many patients feel that their breasts actually look larger. 
My best advice: rest,  recover, and exercise patience.  Again, keep in mind, that a significant percentage of patients at your stage in the recovery process feel that they are "too big" or "too small".  In the long run, once patients have adjusted physically and psychologically to their new body image, the vast majority of patients are very pleased.
 
 Best wishes for an outcome that you will be very pleased with longer term.