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.  

so to get an objective opinion, you should have provided a topless photo.  But regardless, if you are not as full as you had hoped to be, someone chose the wrong size.  But at this point, all you can do is focus on healing and if you do not have the look you want, consider a revision down the road.  Keep your surgeon informed of your concerns and hopefully you will achieve the look you want.

Your before pictures would have been helpful. There is a limit how big a implant can be used safely. You may need to wait few months and then consider your options of going bigger( least 75-100 cc bigger). Your desired look has different chest anatomy and with implants alone you can not achieve the cleavage. I offer my patients with wide gap fat grafting for cleavage enhancement. Please see the link for a patient with fat grafting and implants

Thank you for your question. It is very early post operative period and your breasts will continue to change in the coming few weeks. Please give some time and re evaluate in 3 months.

I am sorry to hear about your concerns after breast augmentation surgery. Your plastic surgeon will always be your best resource when it comes to accurate assessment and/or advice. 
Having said that, it may help you to know that a significant percentage of patients at your early stage of recovery will feel that they are too big or (more commonly) too small.
Generally speaking, breast implants will "drop" into the pocket that was created during surgery. The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized. Normally, it takes about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other.
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. 
In other words, it is much too early to evaluate the outcome of the procedure performed; your breasts will undoubtedly change over the course of the next several weeks/months.   The vast majority of patients with your concerns at your stage in the recovery process, turn out to be much happier two to three months after the procedure was performed.  Understandably, patients often experience significant emotional "ups and downs" around the time of surgery.
For example, many of my patients report that as the swelling around the breast implants (for example, in the sternal area) decreases, they feel that their breasts appear more projecting. Also, 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. 
My best advice: rest,  recover, and exercise patience.  Keep in mind, that a significant percentage of patients at your stage in the recovery process feel that they are "too big" or "too small".  In the long run, once patients have adjusted physically and psychologically to their new body image, the vast majority of patients are very pleased.If in the longer term you remain displeased with your breast size, re augmentation with larger breast implants may be an option.  If this does become the case, make sure that you communicate your goals  clearly; the use of goal photographs and computer imaging may be very helpful in the communication process.Best wishes for an outcome that you will be very pleased with.

Congratulations on your breast augmentation.  Your only 4 days after surgery and it takes 3 months for the implants to drop into position and fill out your breast.  The 325 cc implants should get you close to your desired photo.