Final Results After Breast Augmentation. Do They Fill Out More Post Breast Aug?

I would like to know if the breasts fill out more post-breast augmentation. Immediately after I know the breasts are very firm and swollen. As the implants drop and fluff does the diameter of the breast increase as a result? Or does it just get softer the touch? Also, does the type of implant affect the fluffing process or do high profile, medium and low all fluff with the same results?

Doctor Answers 16

Post op

Two things happen and seem paradoxical. As as the swelling goes down there will be some shrinkage but at the same time as the muscle relaxes your breast projection grows. In general the breast shape and size proportionality improves..

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.

Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Final Results After Breast Augmentation. Do They Fill Out More Post Breast Aug?

It does not matter which profile implant you have placed when discussing firmness or softness, they will all soften over time. Saline always feels more firm compared to silicone. The diameter of the breast should not increase with time, but may appear wider as they settle. The final result can take 3-6 months

Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 49 reviews

Swelling decreases but shape tends to improve in the post breast augmentation recovery period


As you can imagine there will be changes that occur to the size and shape of your breasts as the healing following the breast augmentation procedure progresses.  The degree of this change depends on each individual as each body is different and each surgery is different.  In general you can expect the swelling to decrease as the healing progresses but the tight areas of your breast, usually the lower half and side of the breast, to relax allowing the implant and breast to round out in these areas.  This process depends more on the persons body and surgery as opposed to the implant that is used in my opinion. 

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 162 reviews

Changes in breast appearance with healing, final result and various techniques

Changes in breast appearance with healing

  1. changes occur over 3-4 months
  2. the original size and shape of your breast matters
  3. under the muscle will project more with time and drop some
  4. implant profile will have a modest affect on changes
  5.  most will soften

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Breast Implants and “Fluffing Out?

Thank you for the question.

When breast augmentation is performed a “pocket” is created.  Depending on the size  and position of the breast implant pocket  dissected  as well as the size of the breast implant used,  it may take some time for the breast implants to “settle” into the dissected pocket.  This process may be referred to as “dropping and fluffing”.  It may require 3 to 6 months to occur. Sometimes as a breast implants fully settle, patients report that the breasts actually look larger. Whether there is a true increase in diameter the breast is difficult to determine. Also, I am not aware of any information that shows that the “fluffing process”  differs depending on the profile of the breast implant used.

 I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,487 reviews

Final look post augmentation

The final look may take 3-6 months for the implants to fully drop.  As they drop, the breasts tend to appear wider.  This will depend on the type and style of implants used, your anatomy and dimensions and healing.  The final look is not predictable.  Some women end up looking like two half grapefruits on their chest and other more natural or tear drop shaped.

Todd C. Case, MD
Tucson Plastic Surgeon
4.9 out of 5 stars 55 reviews

Drop And Fluff

After surgery, the breasts swell from the trauma of surgery and the tissues become edematous. This combined with the tightness of the skin and the squeeze of the pectorals muscle on the implant can give the implants a high and flat appearance as the round implants are squeezed like a pancake against the chest.

As the swelling subsides and the tissues begin to stretch from the weight of implants, the breasts begin to settle. Over the next few months, the implants “drop and fluff” and the soft tissue and pectoralis muscle relax.

The shape changes from high and firm to lower, fuller, and softer as the tissue softens and the implants round out - providing more lower pole projection. This occurs with both saline and silicone implants in all styles. It will take 3 to 6 months to see a final result.

Your surgeon is best positioned to guide you through this process.

David Tauber, MD
Albany Plastic Surgeon
4.8 out of 5 stars 29 reviews

Immediately After Breast Augmentation, There is Swelling

Thank you for your question. Immediately after a breast augmentation with submuscular breast implant placement, the muscle is relatively swollen, as is the whole area. That swelling will subside within a few weeks. The implant itself may drop a little bit over time. You'll see your final result at around 3-6mos.

Joshua D. Zuckerman, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 22 reviews

Drop and fluff after breast augmentation

Thank you for your question.. Drop and fluff refers to post-operative period in which the breasts begin to descend and fills out the lower half of the breast. It may take several months for this to happen and can be encouraged with breast massage and compression. It may appear that the breast enlarges as the lower aspect of the breast fills out (at the expense of the upper portion of the breast).  The diameter of the breast does not increase typically.  Also the degree of change does depend on the type of pocket manipulation that was done and whether the implants are textured and shaped, as these do not change as much.  

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 36 reviews

Final results after breast augmentation

Following breast augmentation there will be changes in the shape and contour of her breasts. Usually your breasts will have their final shape within within 3-4 months. Normally the projection will change and increase more than the diameter of the breasts. The type of implant should have little effect on this process. Good luck

John J. Edney, MD
Omaha Plastic Surgeon
4.8 out of 5 stars 112 reviews

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.