2 weeks post-op. Did I go too small? I received 415cc silicone round high profile. Do they look proportionate? (photos)

Question

I’m 5’7”, 128 lbs and was a very small A cup with little breast tissue and a small amount of sagging. I have a wide chest. I know not to get hung up on size, but I want to make sure I didn’t go too small! After dropping will they look bigger?

Ted Eisenberg, DO, FACOS, FAACS · Answer

At 2 weeks you are about 10 percent healed, settled, shaped, softened, dropped and fluffed. "Drop and fluff" refers to the fact that as the skin stretches and the muscles relax, the implants move down and out slowly – about 1 percent a day. It’ll be about six weeks before they even begin to settle down, but they’ll be close to 80 percent settled and softened at three months. Watching their progress is like watching your hair grow. You don’t see a difference in your hair growth daily, but all of a sudden you need a haircut. 
Be patient after surgery. Give yourself a few months before making a judgment about your surgical results. You won't know the outcome until then. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author
RealSelf Distinguished Hall of Fame Inductee

James H. Rogers, MD · Answer

Two weeks after surgery there is still swelling present and the implants have not settled. Some changes in shape and size will occur as this process is completed. Based on your photos you appear to have a good immediate result and certainly do  not appear too small for your chest size and limited soft tissue coverage. Some the problems associated with implants , such as wrippling, are greatly increased when implants are placed that are too large for the soft tissue coverage. Your surgeon appears to have taken this into cosideration.

Daniel Barrett, MD · Answer

Dear kricol01,
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 2 weeks  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.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for your question and photographs, and congratulations on your early results, it appears that you will have a nice outcome.  After placement of implants, the overall appearance of the breasts will change dramatically over the first several months as the implants drop, and the overlying tissue stretches, to accommodate the extra volume.  Early in recovery the combination of tissue swelling and the volume of the implants causes a flattened, wide, and elevated appearance to the implants, while the lower breast appears empty.  As this swelling resolves, and your tissues stretch, you should see gradual improvement.  Although your breasts will not get "bigger" the lower portion of each will fill out your bra cup more.  Judge your results at 4-6 months after surgery as most of your breast changes should have occurred by then.  Hope this helps

Joshua Cooper, MD, FACS · Answer

So far, it looks like you are healing up just fine after your breast augmentation. 415 cc implants are not small, and I think after a couple more months pass by, you'll likely be very happy with your results. Your breasts won't necessarily look larger, but as the implants "drop" or settle into place, your breast appearance will change and the lower pole (lower 1/2)  of your breast will be more filled out. SO, hang in there, and try to be patient as you are only 2 weeks post-op. Please wait at least 6 months before even considering another procedure to go larger. Thanks for sharing!

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry and congratulations on your surgery!

It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

It is crucial to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is important for healthy results.

It generally takes around 6 months to a year to see your final results. Your tissues will take time to relax and allow your implants to "Drop and Fluff" settling into place. Should a revision cross your mind, it is best to wait at least 6 months to a year before doing so.

Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.).

Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

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