Implants Don't Seem Big Enough! Will They Eventually Get Bigger?

I am 3 weeks post op with saline filled to 440cc implants from an a cup. I have waited 10 long years for these and couldn't express more to my PS that I wanted d cups with multiple photos to show him! I have heard of dropping and fluffing, but is this really true? It seems the swelling is gone and no more pain but they still can feel a little tight. I just really don't want to be unhappy with these as I have waited do long to get them and don't have more money to get them done again to go bigger

Doctor Answers 12

Breast Implants Get "Bigger” with Time?

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Thank you for the question.

In my experience, breasts do seem larger as the  breast implants “drop and fluff”.  I see this phenomenon on a daily basis in the office. I would suggest continued patience and follow-up with your plastic surgeon. Don't be surprised if you're pleased with the results of surgery 3 to 6 months from now. Don't base your satisfaction with the results of surgery on a specific cup size.

Best wishes.


Post op

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Two things happen and seem paradoxical. As as the swelling goes down there will be some shrinkage but at the same time as the muscle relaxes your breast projection grows. In general the breast shape and size proportionality improves..

Breast implants initially after surgery when placed in a submuscular position often give superior fullness that corrects itself with time, the "fluff and drop" phenomena. In reality the pectoralis major muscle takes a while to adjust its size to accommodate the implant as well as occasional muscle spasm which keeps the implant projection higher than its final resting shape. Additional variables include:laxity of skin, size difference during prior pregnancies, position of implant,size of muscle, and size of implant.
As the muscle relaxes the projection of the implant often increases and the breast shape improves. Massage and use of a superior placed elastic strap can often make this process go faster.

Breast implants size does not increase after breast augmentation surgery

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Actually the opposite is true. As swelling subsides the size actually decreases. In patients that have a primary breast augmentation it is not always possible to achieve the size desired by the patient something the surgeon should convey to the patients prior to surgery. So it's possible that it was not possible to achieve the size desired during surgery. With time after the soft tissue stretch that may be possible to perform. It's not always in best interest for the patient to go bigger since risk of sagging or bottoming out is higher.


Disscuse the options with your surgeon.



Good luck

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Drop and fluff after breast augmentation

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Thank you for your question. Drop and fluff refers to post-operative period in which the breasts begin to descend and fills out the lower half of the breast. It may take several months for this to happen and can be encouraged with breast massage and compression. It may appear that the breast enlarges as the lower aspect of the breast fills out (at the expense of the upper portion of the breast).  Your breast may appear fuller as they settle but it is more a redistribution of volume rather an increase.

Secondary Procedures Related To Size Dissatisfaction Rare

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It’s not uncommon for patients to express concern about breast size in the immediate postoperative period.Multiple factors make it impossible to assess breast size three weeks after surgery.
Several factors affect the size of the breasts in the immediate postoperative period.These include swelling of the breast tissue, swelling of the surrounding tissue, settling of the breast implants, and muscle spasm.For several months following surgery, each of these phenomena is undergoing significant change.These factors interact in a complex manner to create a rapidly evolving situation.It’s virtually impossible to make decisions about breast size until the situation has stabilized.
In some cases, it may not have been possible to place a larger implant at the time of the original procedure.During surgical procedures, it’s not uncommon for surgeons to make compromises to obtain the best possible aesthetic result.In some cases, utilizing larger breast implants may cause conflicts with other aesthetic goals.For instance, having large breast implants might create an unnatural look, which may not be desired by the patient.It may disrupt harmony, balance, and proportion with other surrounding structures.
All of these concerns might place limits on implant size with this procedure.In most cases, resolution of postoperative swelling results in a decrease in apparent breast size.Occasionally, resolution of swelling in the surrounding tissues results in greater definition of the breasts and the perception that they have increased in size.The vast majority of patients are happy with their breast size after a brief period of adjustment.Rarely, secondary procedures are necessary for size.

Implant Size

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Implants settle a bit with time also the swelling between the breast dissipates which changes the appearance. As far as the size I prefer to utilize the computer with the patients image so we have some understanding as to the size the patients wants.

Size Disappointment After Breast Augmnetation

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Most breast augmentation patients experience early concern that their implants may be too big, only to go on to adjust to them and feel their size is just fine. Early dissatisfaction with breast size will not be improved by the pure passage of time as the implants will not physically get bigger as the tissues relax and healing proceeds. What may happen is that your early 'disappointment' with size may be allayed with time as you adjust to your new body image. With more healing time, while you wish they were a little bigger, you may not desire to go through surgery again to achieve that size goal. Whether this will happen or not depends on how far off now you are from your envisioned size before surgery. 

Implants will not grow

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At the time of initial placement the implants can seem high and feel tight. Over time the skin accomodates and the swelling subsides which places the implant in a more natural position.  The implant will not seem "bigger" but will assume a nicer shape. Its unlikely that if you are not happy with the size now that you will become happier later. However, if its the shape you dont like then that will improve over time since you are in the early post op period. Speak with your plastic surgeon. Open communication is the key.  

Implants Don't Seem Big Enough at 3 Weeks Post Op

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It is still very early into your #healing which will continue for 2-3 months following your #revision procedure. There may be some swelling, bruising, malposition, color differences. But, it can be up to one year see your final result. Meantime, your doctor may require you to move or massage the implants within the breast pockets during the #postoperative period. #Textured implants do not require breast massage. You will be informed about this at your post-operative visits.

Factors which contribute to the outcome are #size, #shape, and #profile.  The #profile is determined by the amount of #projection versus roundness that the you desire, as well as the #size of the implant and size of your chest. Also, the placement or incision location will also have an effect on profile. Another element to a satisfying result of your #augmentation is realistic #expectations. Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. Typically, it's best to wait 6  to 12 months depending on the reason for #revision.
You must have patience, but if there are any causes of concern, ask questions of the doctor or the nursing staff.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews


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Breast implants do nor grow larger by passage of time. Breasts look a little larger immediately after surgery because of swelling due to necessary dissection. Since you were bearing A cup before your surgery, after 440 ml saline implants you should expect to become a C cup, however cups are not standard and vary according to the manufacturer, brand and design of bras. If you want to have even larger breasts, you should wait at least 6 months, give some time for your breast tissues to strech out.   

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.