I am currently 5 weeks post op with 400 silicone HP implants. I've noticed that the size has gotten smaller due to the swelling reducing. I've lost about an inch overall in circumference and was wondering if they might get bigger once the implant fully drops into place. They look so much smaller than I had anticipated but I'm assuming it's because the muscle is still pressing against the implant...
Drop and Fluff
Doctor Answers 11
Muscle stretching after breast augmentation
Over time the muscle will stretch allowing the implant to drop and increase anterior projection. After about 6 mos. the final appearance will be achieved. If you are still not satisfied, then you might consider a larger implant. Good luck!
Wait 3-4 months before assessing results
When implants are first inserted, they sit high up because your tissues are tight and gravity hasn't taken effect. Over time, natural tissue expansion occurs to allow the implants to fall into place. By this time, your breasts will have taken on a more natural contour, where the lower breasts become softer and rounder. Please wait at least four months for this to happen.
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Swelling after breast enlargement
There is always swelling after implant placement that will take at least 3-4 months to resolve and often as long as 6-7 months. I always tell my patients not to fall in love with the way they look immediately post-operatively because it will change. So try to be patient and wait for your size and shape to finalize. In the mean time you can talk with your surgeon about your concerns and he/she will be able to help you evaluate your swelling and discuss possible future revision. Good luck--it's hard to be patient!
Implants and postoperative size.
The placement of large implants such as 400cc HP will require some time for tissue stretch to occur. The volume doesn't actually change over time, but the shape will. This change in shape often leads to more projection as the breast relaxes and gives the appearance of more volume. As with many surgeries, your final results will take several months before they become apparent.
Breast implant settling
It takes about 3-4 months for all the settling to occur after breast augmentation. Try not to worry about size in the meantime. Realize that with HP implants, if they fit your base dimension well, you have the biggest result your body will allow even if you had imagined a larger result.
Do breasts look the same after dropping?
Breast implants initially after surgery when placed in a submuscular position often give superior fullness that corrects itself with time, the "fluff and drop" phenomena. In reality the pectoralis major muscle takes a while to adjust its size to accommodate the implant as well as occasional muscle spasm which keeps the implant projection higher than its final resting shape. Additional variables include:laxity of skin, size difference during prior pregnancies, position of implant,size of muscle, and size of implant.
As the muscle relaxes the projection of the implant often increases and the breast shape improves. Massage and use of a superior placed elastic strap can often make this process go faster.
Drop and fluff after breast augmentation
When swelling resolves, make a decision.
For this reason, we recommend that patients not make decisions regarding breast size until swelling and spasm have resolved.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.