Will my implants appear smaller as they drop and fluff? They are way bigger than what I was expecting! (Photos)

Question

I'm 5'0 110-115lb petite & athletic body type. I was a 32A and wanted to be a small C. They measured me at 12.6 cm & i had 310 cc natrelle gummy bear implants under the muscle. I feel like right now i look like a D & way bigger than the sizers i tried on. Im still 1 week post op i know it is still too early to tell but i feel the implant looks very long on my chest & too big for my frame. Will they appear more like the goal photo once they drop? Would a 295cc have made much of a difference?

Brian K. Reedy, MD · Answer

Thanks for your question! You absolutely have to be patient and give the process time. Things are swollen, high and hard right now. I suspect you will look very similar to your goal photo. Good luck!

Robert J. Schwartz, MD · Answer

I understand it is difficult, but try not to stress at this point.  As much education as we try to provide patients, it is very common for patients to believe that they will wake up to #perfectbreasts right after surgery.  Healing is a process, it takes time.  Keep in mind your pec muscles have been stretched and manipulated to allow for implant placement. This can cause your breasts to appear somewhat higher and temporarily distorted or unnatural-looking.  It will take time for space at the IMF to the nipple to stretch out to accommodate the implants and for the implants to settle. As your healing progresses, they will get prettier and prettier.  I recommend keeping all of your follow up appointments with your plastic surgeon. Discuss your concerns with your plastic surgeon's care team.  They will guide you through the process for the best possible outcome.

Farbod Esmailian, MD · Answer

Congratulations on your surgery.  You look like you are going to have a great result.
Given you are very early in the healing process, it will be some time before they drop and not look so long.  It takes about 4 months or so to appreciate your results.  During this time the volume will shift and redistribute and your breast will change.  Most patients do say they look smaller once they are 4 months out.
Be patient, continue with your surgeons follow ups.  295 cc vs 310 cc is not a significant difference and you would not appreciate much difference between the two.
Hope that helps.

Levi J. Young, MD · Answer

Great question and thank you for submitting photos as well.  As your muscle stretches to accommodate your implant, the fullness in the upper pole of your breast will become fullness in the lower pole.  Some patients feel as though they are smaller after this happens, as you are not seeing such high roundness.  It can take 6 months for your breasts to fully soften.  Until then, follow your surgeon's instructions on implant massage.

Emily B. McLaughlin, MD, FACS · Answer

Thank you for your question. You are still early in the healing process and it is not uncommon to have swelling. 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. Follow up with your board certified surgeon to address your concern. Good luck!

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry and congratulations on your surgery!Your results look fantastic. 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. 
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 important 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 crucial for healthy results.

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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