Will Breasts Look Bigger After They Drop?

I got my breasts done a little over 2 weeks ago. I am 5'5, 116 lbs. My doctor and I decided to go with 450cc saline, high profile. However, after my surgery he told me he filled it up to 450 but went back down to 435cc because the 450cc looked too big. Its been 2 weeks now and I still wished he went 450cc, will they look smaller the more they drop?

Doctor Answers 20

Post op

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Two things happen and seem paradoxical. As as the swelling goes down there will be some shrinkage but at the same time as the muscle relaxes your breast projection grows. In general the breast shape and size proportionality improves..

Breast implants initially after surgery when placed in a submuscular position often give superior fullness that corrects itself with time, the "fluff and drop" phenomena. In reality the pectoralis major muscle takes a while to adjust its size to accommodate the implant as well as occasional muscle spasm which keeps the implant projection higher than its final resting shape. Additional variables include:laxity of skin, size difference during prior pregnancies, position of implant,size of muscle, and size of implant.
As the muscle relaxes the projection of the implant often increases and the breast shape improves. Massage and use of a superior placed elastic strap can often make this process go faster.

Breast Appearance after Dropping

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Most patients perceive the breasts to look smaller after they drop. The reason is that the fuller the upper breast the larger people perceive the breasts to be - think push-up bra. 

As far as your situation, 15cc is 1/2 of an ounce. I highly doubt that anyone, me included, would be able to tell the difference in a 435cc implant and a 450cc implant. I would suggest patience; at this point (two weeks post-op) you should let things heal and settle in and not be anxious about the final result.

Too early to evaluate the outcome

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The implants have a tendency to look larger after they drop.  You are very early after surgery, so there is some settling still.

The Recovery Period Following Breast Augmentation Is Characterized By Rapid Change

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         The period of time immediately following breast augmentation surgery is characterized by rapid change.  During this dynamic phase of healing, swelling, muscle spasm, and the healing process itself all contribute to changes in the appearance of a women’s breast.  In some cases swelling and muscle spasm can displace the breast implants in a superior direction when implants are placed beneath the muscle.


         When swelling and muscle spasm resolve the implants will drop into a more normal position.  When this occurs patients lose some of their upper pole breast fullness and frequently they perceive this as making their breast look smaller.


         Resolution of swelling is a more complex issue.  Obviously, when breast tissue becomes less swollen, the breast ultimately looks smaller as well.  This is often offset by resolution of swelling in the surrounding tissue.  Resolution of swelling in the surrounding areas can bring greater definition to the breasts and actually make them look bigger.


         It’s important to remember that 15ccs represents a tablespoon of liquid which is layered over the implant in three dimensions.  This would have a minimal impact on breast size.


         The interactions of these variables in the immediate post-operative period make decisions about breast size very difficult.  For this reason, decisions regarding size should be delayed until this dynamic process has run its course.

Need time to allow the implant to drop into position

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The implant shape may change but they will not looks smaller as they drop. At this point you just need to wait and allow gravity and you tissues to accommodate to the implant volume. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

15cc Difference in Breast Implant Size

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Don't fall in love with a cc.

15cc is one tablespoon.  It is 3% of the volume of a 450cc implant.  After surgery, implants are often swollen, high and a bit goofy looking.  They need time to settle.  The last thing you want to do is go in too early, (during the inflammatory response after surgery).  Give it time and stay in contact with your plastic surgeon.  He will guide you through the process.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Do not agonize over a mere 15cc difference because this equates to 1/2 a shot glass of water.

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Your breasts should not actually be or appear any smaller whether or not they drop and they don"t always do so.. However, because you are only 2 weeks after surgery there is certainly at this point some residual swelling that is contributing to your present visible breast size. Expect this element of swelling to spontaneously resolve in the coming months and this will undoubtedly lead to some overall decrease in size But please do not agonize over the 15ccs your surgeon elected to omit because this  amount is the equivalent of 1/2 a shot glass of water. Therefore, there is an insignificant final difference between a 435cc implant size and one of 450cc.

David A. Ross, MD (retired)
Chicago Plastic Surgeon

Breast appearance post procedure

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For your individual situation, you need to speak to your plastic surgeon. In general I would wait at least 3 months to assess your results. Once swelling resolves you will get a better impression of the actual breast size following augmentation.

Breasts look bigger after they drop?

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Thank you for the question. You are still in the post operation recovery stage. It usually takes about 8-12 weeks for the wounds to heal and around 4-6 months for the implants to fully settle. It would be best to visit your board-certified plastic surgeon and get a full assessment. Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 122 reviews

Drop and fluff after breast augmentation

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Thank you for your question.. Drop and fluff refers to post-operative period in which the breasts begin to descend and fills out the lower half of the breast. It may take several months for this to happen and can be encouraged with breast massage and compression. It may appear that the breast enlarges as the lower aspect of the breast fills out (at the expense of the upper portion of the breast).  Many women will find that filling out the lower pole of the breast gives them a sense that they are fuller.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.