The first weeks can be really difficult– physically and especially emotionally after any cosmetic surgery and breast augmentation is no exception Assuming your surgery went well this may be a normal reaction. Although several factors may be involved causing this including underlying stress, medications, psychological tendencies, etc - many women experience a sequence of emotional feelings "Emotional Rollercoaster" following aesthetic surgery - but it does pass. Having a partner, family member , or friend who is supportive can help this process.The stages of emotional ups and downs if understood in advance can help you stay calm and get you through this process more quickly.Phase 1 – Being Out of ItSwelling and discomfort is most severe over the first few days after breast augmentation. Pain medications also can make you disoriented and emotional.Phase 2 – Mood SwingsHaving just had breast augmentation you are adjusting to a sudden change in your appearance with much anticipation.. The presence of bruising, swelling, and edema, your breasts aren't going to be look like the final outcome. Mood swings especially sadness, worry and depression are common.You may even ask: "What have I done?" or think that "I never should have done it" Phase 3 Being over criticalDuring the second week you will probably be feeling a lot better. The edema (swelling) and muscle cramping/spasms if implants were under the muscle will be decreasing and stiches out.. Because of anticipation it is natural for you to look critiacally at your new breasts worrying about symmetry, scars, and so on. . So; it's normal to wonder if you acheived your goal and "what you paid for" . This is too soon to tell and most concerns are resolved with time. Phase 4 Happy at lastFinally, about week 3 or so, you will probably start liking how you look and are feeling much better.. You may be in the mood to buy your new bra to check out the size difference, check out some bathing suits or tops to show off your new figure and show off.Larry Nichter, MD, MS, FACS