What is "Fluffing" Following Explant?

The term drop and fluff
appears to reference changes that occur in the breast following surgery.In the post-operative period, patients have
soft tissue swelling and muscle spasm.These phenomena tend to displace implants in a superior direction.When the swelling and spasm resolve, the
implant drops into normal position.As
the soft tissue remodels and softens, the breast develops a more normal
appearance.The term fluffing has been
used by patients to describe this phenomena.When breast implants are removed, this phenomena occurs with the breasts
regaining their normal shape and feel.Many patients refer to this phenomena as fluffing as well.

Good day! I'm not familiar with the term "fluffling" but generally after explantation, the shape and size of the breast will be unpredictable. The breast will be smaller and possibly sag more. Still, it varies between patients depending on their age, duration of the implant, or previous state of their breasts. Patients who already have ptosis (drooping) should think about mastopexy after or at the time of surgery. Improved appearance can also be achieved through natural breast augmentation after explantation. Do not hesitate to contact your surgeon about this and discuss realistic goals and expectations. Best of luck! #RealSelf100

I have not heard this term, but it most likely applies to how the tissue will "fluff" over itself.  You may need new implants to prevent this "fluffing" or wrinkling of the skin.

"Fluffing" is a term commonly used in the context of breast augmentation surgery, particularly with breast implants. It refers to the process by which the breast tissue settles and adjusts around the implants, resulting in a softer, more natural appearance and feel.After breast augmentation surgery, the breasts may initially appear swollen, firm, and high on the chest due to post-operative swelling and the presence of implants. Over time, as the swelling subsides and the surrounding tissues relax and adjust, the implants settle into their final position, and the breast tissue "fluffs" around them. This process typically occurs gradually over the weeks and months following surgery.In the context of breast implant removal (explantation), "fluffing" may also refer to the natural adjustment of the breast tissue after the removal of implants. Once the implants are removed, the breast tissue may undergo changes as it adapts to its new shape and size without the implants. This can involve a redistribution of tissue and a softening of the breasts' appearance and texture over time.It's important to note that the extent and timeline of "fluffing" can vary depending on factors such as the individual's anatomy, the type and size of implants removed, and the elasticity of the breast tissue. Some individuals may experience a more noticeable "fluffing" process, while others may see minimal changes.Overall, "fluffing" is a natural part of the healing process after breast implant removal and is generally a positive sign of the body's adjustment to its new state. However, it's essential to have realistic expectations and understand that the outcome may vary from person to person. If you have concerns about the appearance or changes in your breasts following explant surgery, it's advisable to discuss them with your plastic surgeon for guidance and reassurance.

 Thank you for the question. When breast implants are removed, the overlying breast skin/tissue tends to contract ( "bounce back") to some degree. This degree of contraction will vary from one patient to another depending on the patient's skin/tissue characteristics. For example, the amount of breast skin redundancy and/or elasticity play important roles. These changes that occur, often leading to an improvement of breast appearance in general, may be referred to as "fluffing"; keep in mind that this is a non medical term and not universally utilized.Generally speaking what breasts look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation).Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above. If you take these factors into consideration and apply them to your specific circumstances you may get a good idea of what to expect after the implants are removed.
Patience is definitely indicated after removal of breast implants; it will take many months for the skin to “bounce back” and for you to see the final appearance of the breasts.
Consulting with well experienced board-certified plastic surgeons in person may be helpful. The attached link (lots of before and after photographs examples) may be helpful to you as well.
Best wishes.

Fluffing is a term I have heard some patients use for when the implants are placed and they settle into the pocket. This is not a medical term.

There is no such term as 'fluffing' of the breast after breast implant removal. The breast will shape itself up after the compressing effect of the implant is removed. In most cases it pays to wait to see how the breast will respond after implant removal rather than commit to breast lift right away.

Best of luck,

peterejohnsonmd

I am not sure what fluffing means in terms of breast tissue. But to answer your other questions, what you can expect after explantation is that your breasts may seem deflated, especially in the upper portions. Over the first several months the skin may also retract, or tighten up. To what extent both of these will happen are dependent on how large your implants are, how long you have had them, and the quality of your skin and tissues.

Hope that helps and good luck!

Dr. Babak Dadvand