Wedding Planning It takes about eight weeks for breast implants to begin to settle into their new size and shape. If you want to get a true fit, it would be unwise to go wedding gown shopping before then. Since wedding planning calendars usually recommend that you order your gown 8-10 months out, it means your surgery should be a year before the big day. If you can’t plan that far ahead, you could schedule your breast lift or breast augmentation surgery anywhere up to about four months before the wedding. That way, you’ll be able to get your gown’s bodice adjusted at the fitting, which is usually done about 6-8 weeks before the ceremony. Pregnancy and Breastfeeding If you are thinking about having a child in the next year or working on it now, I would suggest that you wait because your post-pregnancy breasts might look different from your current pair. During pregnancy, your breasts will enlarge from hormonal changes and milk production. Afterward, they might return to their original size or get smaller, bigger or droopier. You won’t know the verdict until six months after you have stopped breastfeeding or, if you are not breastfeeding, six months after childbirth. If parenthood is further in your future and you are anxious to enjoy new breasts now, you don’t have to wait. Just understand that you might need a revision after pregnancy. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, if interested. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA