I have just had my BA done with 350 CC gummy bear implants. Why do they seem so small and will I be able to achieve cleavage?

Question

I have the gummy bear tear drop shaped implants 4 days ago. They seem so small, My doctor and nurse projected I would be a D cup and I feel like I look like a full B. Also, my friend said she did research and she said that with the anatomical shaped implants, I will not be able to achieve cleavage with out a bra. I was hoping I wouldn't need to wear a bra at all seeing as I paid so much money to have perfect perky breasts.

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

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question.Its too early to talk about results. In my practice, after performing a BA I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling.Kind regards,Dr. Emmanuel Mallol.-

Nelson Castillo, MD · Answer

Thank you for your question and I am sorry that your current results have not been what you anticipated.  Initially after surgery the swelling of your breast skin and underlying muscle will cause your implants to appear flat, and to some degree wide.  As this swelling resolves the volume within the implant redistributes towards the lower portion of your breast, rounding it out and making them look more natural. I know waiting is difficult, but judge your results at 4-6 months after surgery as most of your breast changes should have occurred by then.  Voice your concerns during your follow up appointments so that your surgeon can supply you with continued reassurance. Hope this helps.

Steven Wallach, MD · Answer

First, getting implants does not avoid the need to use a bra. Also, cleavage is in any ways determined by your overall anatomy. As far as changing them to softer silicone, that is a choice only you can make.

Vasdev Rai, MD · Answer

It can take upto six months for final shape and size to come through. Do not be impatient. Cleavage depends on many factors and not just size and character of implants.  Generally speaking submuscular implants lack cleavage.

Tom J. Pousti, MD · Answer

Congratulations on having undergone the breast augmentation procedure.
You should be aware that a significant percentage of patients at your stage of recovery will feel that they are too big or (more commonly) too small. I routinely ask my patients to wait at least 3-6 months before evaluating the end results of the breast augmentation surgery. This waiting time allows patients to (usually) physically and psychologically adapt to the new body image. There are both physiological and “psychological” reasons to wait on having revisionary surgery. From the physiological standpoint, it takes many months ( and even up to one year) to see the final results of surgery. factors such as swelling, tissue contraction, skin redraping, implant shifting etc. come into play.From the psychological standpoint, patients undergo an “adaptation period" during which time they get used to the changes that the surgical procedure has brought about. Severe emotional swings can also occur after any type of surgical procedure.In my opinion, the "drop and fluff” phenomenon does hold some validity; as breast implants “settle”, many patients feel that their breasts actually look larger. Although online consultants cannot predict whether or not you will be pleased with the long-term outlook, of the procedure performed, it is safe to predict that the breasts will change. 
In your case, I would suggest continued patience.  
Best wishes.

I have just had my BA done with 350 CC gummy bear implants. Why do they seem so small and will I be able to achieve cleavage?

Answers (6)

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