3 weeks post-op. Do you think they are too big and too high? Would moderate profile have been better? Advice? (photos)

Question

I am 3 weeks post operation. I got 335cc, high profile, round, under muscle. I was 75b before surgery. My breasts are sitting too high (I know that’s not uncommon for this period, but I don’t see any progression). I don’t like them at all. My breast are just too in front of me? Do you think they are too big for me? Or moderate profile was better option for me? I had my own tissue and I wanted upper pole full but not this much. I am feeling miserable. Thank you.

Nelson Castillo, MD · Answer

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.  As this swelling resolves, and your tissues stretch, you should see gradual improvement.  At three weeks I would anticipate these changes to start taking place in the next month or so. 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.  Hope this helps

Harry T. Haramis, MD, FACS · Answer

I appreciate your concern, but you are very early in the healing process. Several weeks to months are usually required for settling after breast augmentation.Close follow up with your plastic surgeon is recommended during this time for instructions.

John Paul Tutela, MD · Answer

Thanks so much for reaching out. You’re very early in your recovery time. He usually takes six weeks to six months for implants to settle into position. They look like they are a good size for your frame. My advice is to just be patient.I hope this helps :-)

Emily B. McLaughlin, MD, FACS · Answer

Thank you for your question. Keep in mind it is not uncommon to have swelling and you are still very early in your recovery process. Also, remember that breasts may not heal at the same rate, causing one breast to appear different than the other. It can take up to 12 weeks for the implants to settle and you to see the final result. Your chosen implants are not considered large implants. Once they have settled you will most likely be very happy as you appear to have a great result thus far. Follow up with your board certified surgeon to address your concern. Good luck!

Douglas Taranow, DO, FACOS · Answer

Anndri,Three weeks is too early to assess the position of your implants.  It will take up to 6 months for them to completely 'fall'.  You may want to consider wearing an ace bandage on top of the breasts (above the level of the npples) to help them descend faster.  The ace is place medium tight...not too tight.  You may also start massaging them more from the top down to help stretch the lower pocket.Best of luck.Dr T

Ashish K. Jain, MD · Answer

The implants will start to drop and settle into a more natural looking position starting at 3 weeks post op. The implants appearing “too high” is normal for this point in your recovery. As far as size, that is a personal preference. I will say 300-350cc round high profile is a very average size implant. Your PS might have you massage your implants down if necessary.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry and congratulations on your surgery!

It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

It is crucial to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is important for healthy results.

It generally takes around 6 months to a year to see your final results. Your tissues will take time to relax and allow your implants to "Drop and Fluff" settling into place. Should a revision cross your mind, it is best to wait at least 6 months to a year before doing so.

Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.).

Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

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