1 month po and still look 'fake.' Will they drop into a natural look and will the rippling I see improve as they settle? (photo)

I wanted natural look with sloped upper pole. Full B small C. I also have some rippling on the outer side of one breast. I am 5'5" tall and 99 lbs and previously an A cup. I am fit, thin and have never had children. Meaurnents: 27" rib cage, BWD Left: 12.0 and Right: 11.5. I also wanted some side boob. I got Sientra 305cc 4.0 proj and 11.7 D in both. Help? They look so fake right now. :(

Doctor Answers 8

Breast augmentation

Thank you for your question and photograph.

It is important to address any post-operative concerns with your plastic surgeon.  You are still very early on in your recovery. Swelling after a breast augmentation occurs with 100% of patients, eventually the swelling will go down and your breasts will drop into their pockets causing them to look and feel more natural.  If the breasts are too high, the use of a breast binder is beneficial to add downward pressure. I would continue to wear your surgical bra as directed and perform your breast massages. Your doctor may also prescribe you a Medrol dose pack (steroid) to help with the swelling. I hope this helps.
Best of luck in your recovery!

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

Pittsburgh Plastic Surgeon
4.9 out of 5 stars 75 reviews

Changes after breast augmentation with silicone implants

It is impossible to guess what your final results might be, but in general, it seems like you are off to a good start. If these issues concern you enough, you should see your plastic surgeon to get their opinion of what you can expect in the future.

Ira H. Rex lll, MD
Fall River Plastic Surgeon
4.6 out of 5 stars 46 reviews

Breast Augmentation - Post Op Swelling?

Thank you for your question. You are still early in the post-operative period. It typically takes 3 - 6 months for the swelling to subside and and implants to settle into proper position. Please discuss your concerns with your board certified plastic surgeon. Also, make sure you follow all of your plastic surgeons post-operative instructions regarding level of physical activity and use of a support bra. Hope this helps and good luck with your recovery.

Steven J. Rottman, MD, FACS
Baltimore Plastic Surgeon
4.9 out of 5 stars 78 reviews

Will they drop into a natural look and will the rippling I see improve as they settle?

Congratulations on having undergone the breast augmentation procedure.  Your plastic surgeon will always be your best resource when it comes to accurate assessment and advice.

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. 

  Most of my patients tell me that their breast implants feel "part of them" somewhere between 3 to 6 months after surgery was performed.  There is definitely a physiologic and "psychological" (body image)  adaptation process that occurs, at differing rates for every patient, for patients who undergo any type of aesthetic surgery, including breast  augmentation surgery.  Understandably, patients often experience significant emotional "ups and downs" around the time of surgery.

 Best wishes for an outcome that you will be very pleased with.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

1 month po and still look 'fake.' Will they drop into a natural look and will the rippling I see improve as they settle

If they are smooth implants, it can still drop and look more natural and sloped. We usually recommend  manual pressure on the upper part of the breast held for 10 seconds, done ten times in one setting and repeated twice daily. It is not pushing the implant down as much as it is pushing the pectoralis muscle flat against the ribs. If they are textured, it is less likely to drop but they can still drop some. The ripples on the side are due to your very low body fat and I would guess they used smooth implants rather than textured ones because of that. The cohesive nature of the smooth is not as strongly cohesive as the textured implant and you can feel ripples more in the smooth versus the textured.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Aesthetic Changes In The Appearance Of The Breasts As The Implants "Settle"

Unfortunately, the picture you provide does not reveal very much about the appearance of your breasts, particularly in the area where you claim to see rippling. While you do provide information regarding your height, weight, and breast width, as well as the dimensions of the breast implants, which appear to be appropriate, you do not say whether they are smooth or textured, what access approach was used, or whether they were placed above or below the pectorals muscle.  

However, just from your description of yourself as being fit, thin, nulliparous, and having an A cup prior to surgery, it is not surprising that you may have some degree of rippling, given the size of the implants placed, and a presumed paucity of breast tissue preoperatively.  The good news is that one month is still relatively early after your surgery, and you can expect some further stretching of the skin and soft tissues over time that may allow your implants to drop a bit. 

This may allow the contour of the upper pole of your breasts to become more sloped over time.  The issue of the rippling may improve as the implants gradually shift in position, or it may become more noticeable as the swelling of the breasts continues to diminish.  Be patient, and follow up with your surgeon to discuss your concerns.

Peter Lee, MD, FACS
Los Angeles Plastic Surgeon
4.6 out of 5 stars 47 reviews

Appearance after breast augmentation

Thank you for your question and provided photograph. The appearance of your breast following surgery are dependent upon a number of different issues. The implant size is certainly important but the amount of soft tissue coverage also makes a big difference. You are thin with a small amount of breast tissue to cover the implant. This will unfortunately allow for visibility of the edges and rippling within the implant. As your swelling resolves, these may improve or become more pronounced. It usually takes approximate three months before the implants have settled into their final position and all traces of swelling have dissipated. Please be patient but talk with your plastic surgeon about possible options if this does not improve. Good luck.

Paul B. Mills, MD
Saint Louis Plastic Surgeon
5.0 out of 5 stars 14 reviews

1 month po and still look 'fake.' Will they drop into a natural look and will the rippling I see improve as they settle?

It is too early to be concerned. It can take 3 months to drop. Ask your surgeon about breast implant displacement exercises and a Bando to help them drop.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.