Drop and fluff; will they look bigger soon? (Photos)

Question

I was a small b. Mostly saggy from 2 kids. Had 425 HP Behind muscle. I though I was going to be pretty good size and I don’t look big at all. I’ve read about D and F and that my muscles need to relax but is all that true? Will they look bigger soon? It’s been exactly 2 weeks. I only ask on here because I worry about over reacting but am depressed they aren’t bigger.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Your muscle has the implants pressed flat. At 2 weeks you are about 10 percent healed, settled, softened, shaped, dropped and fluffed. "Drop and fluff" refers to the fact that as the skin stretches and the muscles relax, the implants move down and out slowly – about 1 percent a day. It’ll be about six weeks before they even begin to settle down, but they’ll be close to 80 percent settled at three months. Watching their progress is like watching your hair grow. You don’t see a difference in your hair growth daily, but all of a sudden you need a haircut. 
Be patient after surgery. Give yourself a few months before making a judgment about your surgical results. You won't know the outcome until then.
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author
Phila., Pa.

Martin Jugenburg, MD · Answer

Thank you for your question. Your breasts will continue to change over the next few months. If you are concerned, please speak with your plastic surgeon.

Robert P. Schmid, MD · Answer

Thanks for your question! I've really never heard that phrase; ha! Well, things will def settle out over the next 4-6 month, but if you're not happy with your volume now, I'm not sure that you're going to be happy with the final volume that you end up with. 
Did your Ps offer you pre-operative sizers or Vectra? That's really helped my own pre-op planning in my experience of doing thousands of breast augmentation surgeries. Best of luck to you!

Kenneth Hughes, MD · Answer

Based on your pictures it looks like you have a great result, 2 weeks is too soon for them to be completely heal just give it more time, continue to consult with your PS.

James H. Rogers, MD · Answer

Two weeks after surgery is much too early to evaluate your results. However, typically the breasts will not appear larger, but rather, smaller as the swelling diminishes. You appear rather thin and without a great deal of tissue coverage, so i would not encourage you to have really large implants placed. 425 cc volume is quite reasonable. Discuss your concerns with your surgeon at your next appointment.

Gregory A. Buford, MD, FACS · Answer

Great question!Unfortunately, at this point your breasts are not going to get any larger.  In fact, as the swelling goes down and your implants settle, the result may actually look a bit smaller.  Without knowing what transpired during your consultation, it's hard to comment on why this size was chosen but I actually think you have a very nice result.  I hope that helps and wish you the very best!-Gregory A Buford MD FACSBoard Certified Plastic Surgeon and Author

Daniel Barrett, MD · Answer

Dear Jcshaw,Dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position.I understand that you are worried about your implants are not dropping as expected. However, you are still in the early phase of the recovery period. Please do allow some time for the healing process to occur. If after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

M. Scott Haydon, MD · Answer

Thanks for your question and the photos. While it takes some time to see a "final" result, you implants appear to already be in good position. You have a great result. There is a limit as to how much volume the surgeon can place based on the dimensions of your chest. The HP type of implant maximizes that. I think when you compare your pre and post op photos you will feel a lot better. Best of Luck!

Francesco Campanile, MD · Answer

At just two weeks after your breast augmentation, you still have some time before you see your final results, so try not to get upset or focus too much on your results this early on. You are correct in thinking that your implants still need to “drop and fluff.” As swelling diminishes and the breast pocket adjusts to your new implants, you should begin to see your implants settling into a slightly lower, softer position with a smooth, round shape.

Mel T. Ortega, MD · Answer

Thank you for your question.   should expect the skin to soften and the implant to settle at about three months after surgery. Please follow up with your surgeon with your concerns.Best of Luck!

Drop and fluff; will they look bigger soon? (Photos)

Answers (12)

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