Drop and fluff faster after second Breast Augmentation?

Question

After my first BA, it took a full 3 months for my round mod+ 325 cc sientra implants to settle in. I plan to downsize by about 100 cc to anatomicals. What kind of recovery can I expect? I've heard that it doesn't take as long for things to settle after the second operation. Might I have a good idea of my results after 2 weeks or so?

Gerald Minniti, MD, FACS · Answer

Hello,Drop and fluff is the phenomenon of tissue expansion and settling of your implants. After your revision surgery, you will be shrinking in size so no drop and fluff will occur, and you should not expect much change in your appearance during the recovery period. I assume you surgeon will be placing internal sutures to make the pocket more fitted for the smaller, shaped implants. Your recovery should be very easy.The combination of a smaller and anatomically shaped implants will leave your upper poles soft and natural appearing. I commend you on your choice of implants. Their more cohesive gel will give you a reliable and long lasting shape to your breasts with the least amount of rippling. Best of luck!

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

Revision breast surgery usually entails a faster, less painful recovery, as well as quicker "settling" of your results.  Since you will be downsizing, there will not be much change in your appearance during the recovery period.

The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

Nelson Castillo, MD · Answer

Thank you for your question. In general, revisionary breast surgery usually entails a quicker, less painful recovery, as well as faster "settling" of your results.  This does assume that additional work to ensure proper placement of the anatomic implants is not needed, such as converting the position of the implant pocket or significant work in your current pocket to narrow the size in anticipation of a smaller implant. But of luck on your upcoming surgery!

Farbod Esmailian, MD · Answer

Most patients would agree that the recovery with breast revision surgery is generally much faster and less uncomfortable that the first surgery.  This is all assuming that the same pocket is used.  If the implants were placed in a subglandular position and now they are being placed in a submuscular position, then this may not be true.My experience is that with the textured anatomical implants, there tends to be a bit more swelling than the smooth round implants, therefore it may take a bit longer before all the swelling is gone.  However, with anatomic implants there is minimal "settling in" as there is with the smooth round implants.Hope that helps, good luck.

Nana N. Mizuguchi, MD, FACS · Answer

Faster recovery is associated with revision type surgery in most cases.You are changing from a round to anatomical shaped breast implants.  They may settle faster but textured implants require tissue adherence to maintain position.  Follow you surgeon's care.Best Wishes,Nana Mizuguchi

Arthur M. Cambeiro, MD · Answer

The recovery is much faster as is the visualization of results when you downsize your implants.  It should take two weeks or less however if your surgeon does some capsule work it may take longer.

Milind K. Ambe, MD · Answer

In general a revision breast augmentation surgery is a quicker and easier recovery then the original,  as long as the pocket remains in the same position (staying below the muscle or above the muscle).  I do recommend the surgeon perform a capsulorraphy (pocket tightening) when going with a smaller implant to give you the best cosmetic outcome.  Two weeks after surgery you should look good but it will not be your final result.  Seek an in person consultation with a Board Certified Plastic Surgeon if you want more specific advise.  Best of luck to you!

Steven M. Lynch, MD · Answer

Hi,  You have a modest implant now and are going smaller.   The only issue with the recovery would be from any sutures that the surgeon would place to make the pocket smaller to fit the new lesser volume.  Even this is minimal with a secondary implant procedure because your muscle is already used to being stretched for a larger volume implant.  With a textured anatomic implant, the "shell" of the implant is rough and it needs to have new tissue to adhere correctly.  For this reason, the capsule has to be altered to give the fresh tissue exposure to the implant.  This can be somewhat uncomfortable on the bottom of the pectoralis muscle.  Bottom line is that you will probably have less discomfort than the first procedure.

Anthony Youn, MD · Answer

For the most part, a second breast implant surgery settles much faster than the first. This is especially true if the implants were placed under the muscle the first time, as muscle swelling can take months to settle down. But once that muscle has been stretched with the first surgery, any revision usually creates much less swelling. Hence, a shorter time to settle.hope this helps!

Tom J. Pousti, MD · Answer

Thank you for the question. Assuming that the same breast implant "pockets” are utilized, revisionary breast surgery tends to be associated with minimal recovery time/discomfort and implant settling, compared to first-time breast augmentation surgery. This is likely because the muscle/tissue stretch (and necessary dissection) has already occurred for the most part.Best wishes for an outcome that you will be very pleased with.

Drop and fluff faster after second Breast Augmentation?

Answers (12)

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