Drop and fluff? I have had 275cc unders put in 2 days ago.

Question

I have asked my surgeon about the drop and fluff phenomenon, but everyone I asked had not heard about it. However when I first went to consultation they were all talking about this phenomenon of the implant getting bigger "fluffing" after they drop. Is this really a thing that happens??

Maisam Fazel, MA, MBBChir, FRCS · Answer

Thank you for your question.
There is a fair amount of swelling after an breast augmentation, which tends to resolve mainly over 3 months, but can take longer. During this period, the implants also 'settle' into place and thus appear to drop. The degree to which this happens depends on the type and coating of the implant. I would suggest asking your surgeon to check on your concerns when you attend for your post-op appointment.

Charles Nduka, MD · Answer

You are still very early in the healing process and what you are seeing are not your final results yet. You may expect a degree of swelling which could persist for months. Bruising, drooping and sharp pains are also common a few weeks/months after surgery. Keep close contact with your surgeon and follow his/her post-op instructions to prevent complications. It typically takes about 3 months for you to see improvements and at about the 6th month you would expect to see tour final results.

Gary L. Ross, MBChB, FRCS · Answer

Yes the implants will drop and the implants soften over the coming months. You are early postop and it will take some time to settle. Keep in touch with your PS.

Adrian Richards, MBBS, MSc · Answer

Hi Pollypolly123,The drop and fluff phenomenon is common however the act of the implant getting bigger is not correct.What is actually happening is your implant is settling into its place within the pocket created in your breast tissue and your swelling is reducing which may make it seem like your implant is getting bigger. If you have any concerns about the appearance of your breast implants post-op then please contact your plastic surgeon.

Tom J. Pousti, MD · Answer

Congratulations on having undergone breast augmentation procedure. 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. 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. 
Best wishes for an outcome that you will be pleased.

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