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?

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

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.- 

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.