7 days post breast augmentation with 490cc Mentor gel extra implants (higher profile), when can I exchange them? (Photos)

I would give it 3 months. They will certainly change over the next few days to weeks. You may not feel it is worth it in the next week or two. The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

The most important first step is to stay in contact with your surgeon. To have some asymmetry in the beginning is typical. In terms of implant positioning, that too can be modulated with post-operative exercises and a supporting bra. If you think you made the wrong pre-operative decision about your size, this will be more evident at 3-6 months. You should discuss your options at that time. Michael Kulick MD

   Board Certified Plastic Surgeon, San Francisco Ca
   Member of ASPS, ASAPS

   Clinical Editor of the Aesthetic Surgery Journal

   Recipient of the Klingbeil Award from ASAPS – Teaching Safe Techniques and Advanced Technologies

I can see from your photos some of your concerns.  The feel part will take some time and once the swelling goes down and the skin and muscle accommodate the implant things will feel much softer.  The Mentor implants are very soft, although the Xtra is the same gel, it is an overfilled implant which adds to the roundness.As far as the creases, there is some asymmetry there which is why one implants is sitting higher than the other.  This may improve over time and may not be an issue when you are 4-6 months out.At this point I would recommend being patient and allow things to heal before going down the revision road.  You may find that at that time you are happy with your result and may have saved your self another surgery.  Things will change a lot between now and 4-6 months times.Hope that helps.

Dear  age is grace,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 7 days  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. I would recommend that you give your breasts some time to settle. There is still swelling at 1 week post op and it also takes a few weeks for the implants to drop in the correct position. Give them at least 3 months before you decide to change size.

and if you were my patient, I would ask that you allow yourself to heal and then decide later if you still need to downsize and go with regular implants.  I would anticipate you will become more accepting of your results and be much happier than you are right now.  Now if you wanted smaller implants and were talked into larger implants and feel that you are too large, perhaps you will not convert as time and healing happens.  Decisions made under duress are often the worst decisions ever.  Discuss your concerns with your surgeon and get the reassurances you need at this time to allow you to focus on your healing.

I am sorry to hear about your concerns after breast augmentation surgery. There is no standard  "waiting time"  to proceed with revisionary breast surgery. This decision is best individualized based on factors such as safety considerations (for example, returning too early may increase risk such as bleeding…)  and determining patients' certainty that revisionary surgery is likely to achieve an outcome that she will be happy with long-term.
It may be helpful for you to know that a significant percentage of patients early in their recovery will feel that they are too big or (more commonly) too small. 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. 
At this point, seven days out of surgery, I would advise: patience and rest. I would also suggest that you discuss these concerns with your plastic surgeon who will be in the best position to advise you.  Best wishes.

Hi and welcome to our forum!
Healing after breast augmentation
involves readjustment of the skin and soft tissue envelope to the presence of
the added fullness and weight of the prosthesis within the
breast. The "drop and fluff" phenomenon may take 3 months or so. The inflammatory phase of wound healing results in swelling which initially totally camouflages the operative result. 60-80% of swelling will abate by the 6th week, with total resolution taking 6-12 months. Some of my patients complain of being too large initially, ultimately desiring reaugmentation to be made even BIGGER. It is far too early to assess your operative result.
Discuss your concerns with your
surgeon.
Best
wishes...

Dear Age Is Grace,Hello and thank you for your excellent question. There are two ways to look at your concern. The first is: be patient. You are only a week out from your surgery, and your breasts look great. The second is: if you are concerned, then it is your body, and you can seek treatment now. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018

BeautyAdvisor Top Contributor

All breast implants sit high and feel firm for a while. Wait 12 weeks before making any decisions. Hopefully this information was included in an extensive preop consultation as well as what options were available to get you to the goal look you showed your surgeon. It is important you discuss this with your doctor.