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

Question

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?

Larry S. Nichter, MD, MS, FACS · Answer

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.

Joshua D. Zuckerman, MD, FACS · Answer

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.

David Tauber, MD · Answer

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.

Young R. Cho, MD, PhD · Answer

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.

Richard J. Bruneteau, MD · Answer

It’s not unusual for the breasts to undergo significant
changes in the immediate post-operative period.Initially, the breasts are extremely swollen and the pectoralis muscles
are tight from spasm.This causes the
implants to be superiorly positioned and the skin to be swollen and very firm.With
the passage of time, this situation improves dramatically.This results in breast softening but doesn’t
change the breast width.This is
actually determined by the base width of the breast implant that’s been
utilized.This situation isn’t changed
by the size and style of breast implant utilized.

Raffy Karamanoukian, MD, FACS · Answer

Breast implant positioning and palpability will change after breast augmentation, especially in the first one month. I encourage my Los Angeles patients to avoid underwire bras and to massage routinely after surgery. Raffy Karamanoukian Surgery90210

Jaime Perez, MD · Answer

As breast implants drop and fluff they become softer and appear larger because the surrounding tissue is no longer swollen. Although they appear larger, the breast diameter should not increase over time. This process of settling is not influenced by profile of the implant.
	 

	Jaime Perez, MD
	Breast Augmentation Specialist
	Plastic Surgery Center of Tampa

Jed H. Horowitz, MD, FACS · Answer

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

John J. Edney, MD · Answer

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

Jonathan Fisher, MD · Answer

The type of implant does matter, it is everything. Saline Implants always feel firmer than silicone but not as natural looking. It takes time for the final result to appear, About 4-7 months if not sooner. Depends also on the size of the implants. Always consult with your doctors to see wish implant is right for you.

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