I had my surgery last Thursday, they are still swollen but I feel they are a bit bigger that what I have wanted. I went with 285cc under the muscle, I feel I should have gone with less than that, maybe 50cc less to make it a difference. I am 5´1, 90lbs, and BWD of 11cm. I was 32A looking to be a full B and now my surgical bra size is 34C. That´s a little too much for me. Does size decreases as the swelling goes down? How much do I have to wait for a redo going 50cc smaller?
In Breast Augmentation, Does Size Decrease As the Swelling Goes Down?
Doctor Answers 33
Too big, too tight, too high, tot swollen after breast augmentation surgery.
Hi, thank you for your question.
You are at the very beginning of what is really a six month process as the tissues of your body relax and the implants settle over time.
I always tell my patients that they will look too big, too tight, too high, and too swollen right after surgery so that they won't panic the first week.
Unfortunately, patients don't get to see what the plastic surgeons sees in the operating room. As you roll out to the recovery room the breasts begin to swell and the muscles begin to tighten. Often there's some fluid that initially accumulates around the outside of the implant. In the early stage when the muscles which are tight press on the implant it generally makes them look higher as well.
Over the next six months the body relaxes, the fluid absorbs, the muscles give way, the implants will see less upper portion fullness and will look lower and fuller on the chest. It will generally take about three weeks before you begin to believe that changes are happening.
Unfortunately you really won't know if the size is exactly what you want for about six months but if you had good communication with your plastic surgeon chances are you'll be happy. A paradox of this operation is of the people like you who are scared in the first week about 60 to 70% will eventually say hmm.... maybe I could've gone bigger?
I hope in the end you get exactly which are looking for, but a week after surgery is way too early to be worried that this is your final result.
Best wishes for a speedy and happy recovery.
Breast Augmentation Swelling
Swelling Following Breast Augmentation Surgery
Patients undergoing breast augmentation can anticipate significant swelling in the immediate post-operative period. This swelling resolves quickly, with the vast majority being gone in about three weeks. Almost all of the visible swelling is gone in about 4 to 6 weeks, but small amounts of residual swelling may be present for up to 3 to 4 months following surgery.
Compression bras and dressing are frequently used following breast augmentation to the minimize swelling. Swelling can add to a patient’s post-operative discomfort. It can also be the source of anxiety regarding breast size in the immediate post-operative period.
It is not unusual for patients to express concern about breast augmentation surgery. In some cases, swelling can be significant and make the breasts look much larger than they will ultimately end up. As swelling resolves patients rapidly adjust to their new breast size and the majority, are ultimately very happy with their size.
For these reasons, we feel it’s important for the patient and the surgeon to have good communication following surgery. In this situation, a little reassurance can go a long way towards making this a more comfortable experience. Be patient, it’s far too early to be concerned about revisional surgery. There’s a good chance you will end up happy with your breast size.
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Size of the breast does decrease as swelling goes down after breast augmentation. Sometimes this can represent as much as a cup size of artificial fullness before swelling abates. Increasingly some patients like the noticed fullness of their swollen breasts the night after surgery and then become discouraged when they "shrink" with normal healing. Accurate assessment of desired breast size is critical in the pre operative consultation and is something we focus on in breast augemenation practice.
Unhappy with size at one week
I generally tell my breast augmentation patients that if they are happy with their size the first week, I have chosen the wrong implant. You are swollen, your implants haven't dropped yet and you still probably don't feel great after surgery. This is not the time to make any decisions about your result. You will see some changes over the next several weeks and months, give yourself time to heal and to get used to your new look. Remember you hired an artist not a technician, trust your surgeon and give it some time, I bet in 6 months you'll love your breasts.
Good luck to you!
Give it some time...
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.