Didn't go big enough? (photos)

Question

I am one week post op. I am already very worried I did not go big enough. I am 5'3" and 150 lbs. Preop I was a 34 b. My goal was a full c small d. My doctor had me go with 350cc moderate profile under the muscle. They seem so small still. What can I do? Also, why does my right boob (left in the picture) look like it is messed up? will my boobs start to come together when I can wear a bra? Will they form cleavage?

Jerome Edelstein, MD · Answer

Hello,Thank you for your question. In the weeks immediately following breast augmentation, especially with under the muscle placement, swelling and tightness can compress the implant volume up and outward for a time. Along with giving the appearance of high, rectangular breasts, this can make them appear smaller temporarily. You will need to allow a full 6 months to see the breast volume settled in and softened. This process is often called "Drop & Fluff" Try to be patient and wait until 6 months to evaluate your results.Take care

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photo.  All you can do right now is be patient and make sure to follow your surgeon's post-op instructions closely for the next few months.  It is FAR too soon in the healing process to critique your results at only one week post-op.  I tell my patients to wait at least three months as their breasts need to drop into place (yours are still high on your chest wall) and reduce in swelling.  The space between your breasts will not change but depending on how much your implants drop, you may or may not have improved cleavage.All the best,Dr. ResultsMiami, FL

Brian K. Reedy, MD · Answer

Hi & thank you for your question.You are very early in the healing process. Your breasts need time to heal, drop & settle . If at that time you are still unhappy with the result contact your surgeon with your concerns.Best of luck!

Sheila S. Nazarian, MD · Answer

I know it's frustrating to come out of surgery and not see your final results immediately, but it can take 3-6 months for your breasts to fully heal and drop/settle. And its quite common for each breast to heal/drop at a different rate. So, for now, you need to be patient with yourself and wait. Best, Dr. Nazarian

Charles Galanis, MD · Answer

I would urge you to be patient at this point in your recovery.  Although it is perfectly understandable that you would want to take a hard look at your outcome after going through the whole process of deciding on and finally having surgery, the recovery from breast augmentation really requires a good 3-6 months before any assessment can faithfully be made.  During that period, swelling will gradually resolve and the implants will gradually settle such that the shape, size, and position of your breasts will evolve.  It is also important to keep in mind that one side may heal at a different rate or in a different manner than the other such that you may note asymmetries that did not exist preoperatively.  These may also resolve as the healing process continues.  Focus on getting the rest you need and following the counsel of your surgeon.  Good luck!

Christopher V. Pelletiere, MD · Answer

You have a long way to go before you can really judge the size.  Most women take 3 months before things stop changing.  Right now they are probably tight and not moving at all.  Once everything relaxes and settles, you may have a different opinion on the outcome.  Just be patient.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

Right now, you are very early on in the
post op recovery period. It will take 3-6 months for you to feel comfortable
having implants in your body and for them to settle. This time allows for you
to physically and psychologically adapt to your new body image. There are many
variables that contribute to a breast augmentation's final result. Preop size
and shape, IMF location, location of the implants and type of implant. Patients
heal at different rates and each breast will sometimes heal at a different
rate. Rest, relax, recover and heal. Please Express your concerns to your surgeon so
he/she can examine you. Then reassess final result at 6 months.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!Dr. Schwartz

Nelson Castillo, MD · Answer

Thank you for your question and for sharing your photograph.  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. The first several days after surgery are very emotional, and it is common for women to feel that they went too large or too small.  350cc with your original size should get you close to your desired size.  Hang in there and allow your results time to mature before assessing your final size.

Michael M. Omidi, MD, FACS · Answer

Thank you for the question and photo.  At 1 week, you are still early in your recovery stage.  It usually takes around 8-12 weeks for the wounds to heal and 4-6 months for the implants to completely settle in.  It would be best to give it some time and after this time frame you are unhappy with the result, best to visit your board-certified plastic surgeon.  Best of luck. Dr. Michael OmidiAn in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Steven Wallach, MD · Answer

You are early in the recovery phase. They will descend more. As for the asymmetry,it would be nice to see preop photos.

Didn't go big enough? (photos)

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