I had 325cc 4 days ago. My breast look very small and out of shape. Maybe I should go to a 400cc? (photo)

Hello,
I know it seems like nothing happened. However, as time goes on your breasts will take shape as your soft tissue envelope expands and allows for implant projection and fullness in the lower pole. It is likely your surgeon was respecting your anatomic capacity limit, something that is done in your best interest. The vast majority of complications of breast augmentation are avoidable and caused by inappropriately large implants. Be patient. Best of luck!

Thanks for your question and pictures. The 325cc should increase you about 1.25-1.5 cup sizes. That would make you a full B or small C. Obviously, this varies between bra companies. Looking at your wish pic, you may need slightly more implant size. That being said, you really, really need to wait 3 months to make any decisions. There are many changes that will occur in the next couple of months. Interestingly, I noticed your wish pick has a complication. The implant on the right side of the picture has "bottomed out". This makes the nipple point upward instead of straight forward and the upper breast lacks volume. These types of implant placement problems are common. This is the main reason you would want to wait before increasing size. Let the implants settle and be sure they are symmetric before going through another surgery. Best of luck!BH

Hi nathyribeiro2,

I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process at 4 days  post op.

Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.

At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.

Dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position.

But if you are still concerned, you can always visit your plastic surgeon and discuss your concerns. This way, you will be reassured. Also, if after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.

Lastly, follow your plastic surgeons post-operative instructions and advice for faster healing and recovery.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery 

Member, Am. Society of Plastic Surgery

You may need to go up in size, and you should also look into different types of implants and how cohesive they are... but 4 days is wayyy too early.  Give it some time and let things heal.  If you still want to go bigger in a few months then you can consider it.  

Your photo is difficult to interpret, but it is important to be aware that when you see a post op photo, you should look at the pre op photo.  If you look like the pre op photo, you might get a result similar to the post op photo.  This is always a good discussion to have with your surgeon.  Now that you have had surgery, you should wait several months before thinking about your final result.  It can take 6-12 months before the final result is visible.  Implant volume alone is not a predictor of final appearance.  There are many factors about implants that contribute to this and your surgeon can explain this to you. You should certainly have a discussion with your surgeon about your concerns.