Is It Normal to Be So High 12 Days Post Op? (photo)

Pre op: 32A Rib cage 29 inches Pear shape body PS gave me 465cc HP saline filled to 500. I showed him pictures of the look I was going for (full D) Please let me know if I should worry about the way my breast look as of now. Thank you!

Doctor Answers 14

Too early to assess results

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When breast implants are first put into your body, they typically sit higher up in the chest. This is because it’s the path of least resistance – your body requires some time to adjust to their presence, regardless of whether they’ve been placed in a sub-mammary (between breast tissue and chest muscle) or sub-muscular (under both the breast and chest muscle). Immediately following surgery, you’ll find that your newly enhanced breasts appear very full and swollen, especially in the upper portion above the nipples. Your skin will most likely look very tight and your nipples may point slightly downward as well. This may make the shape and overall appearance of your breasts appear unnatural. Don’t worry, because they will change for the better, something casually known as “dropping and fluffing”.

As your body accommodates to your new implants, you’ll notice that your breasts will gradually look more and more natural – the way you hoped they’d be! Over the course of about three to four months, your body creates new skin to accommodate the additional volume of your implants. This natural process is called “tissue expansion”, and relieves the tightness you may be experiencing. It allows for the implants to settle more into a better position with the help of gravity. A gradual redistribution of volume from the upper to the lower breast occurs, resulting in an enlargement and rounding out of the lower breast.
Although it's often called "dropping", it is more like "redistribution". The "fluffing" part refers to the impression that the lower breast enlarges and that your skin softens with the creation of new tissues. The extent to which this occurs depends on several factors, including the implant size, the tightness of your skin, and your body shape.

This takes longer in patients with smaller breasts and tighter skin. Ask your surgeon if a bandage wrapped around the top portion of your breasts can help.

Breast implants look

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The initial swelling after breast augmentation make the implants look high on the chest wall.  This is because the swelling expands the whole area, and the bottom, or infra-mammaru fold, is a fixed crease and will not yield, while there is room above the implant for the swelling to expand.  This is most evident in young thin patients' breasts that have not been already expanded during pregnancy.  Although is appears unusual and disconcerting, try your best not to focus on it (easier said than done), and patiently await fot the swelling to abate and the implants to drop into place.

Gregory Diehl, MD, FACS
Long Island Plastic Surgeon

Give it time

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Hello. Twelve days is not near enough time for the implants to settle. Your implants will not settle for about another three to four months. Until then the best thing you can do to help them settle would be to massage and continue using any compressive dressings your surgeon had provided.

Jaime Perez, MD
Breast Augmentation Specialist
Plastic Surgery Center of Tampa

Jaime Perez, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 81 reviews

12 days post implants

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It is fairly common for implants to ride a bit hight during the early post-op period because of swelling and spasm of the muscle.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Is It Normal to Be So High 12 Days Post Op? (photo)

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You know that 12 days is VERY early in the healing phase. The implants are riding high because the muscle is in a semi contracted state and has not released to allow the implants to descend into the inferior pocket. Best to discuss with your surgeon. 

High profile, high volume, saline implant have a lot of upper pole fullness

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Thank your for the question and the photos.  It is quite common to have a lot of upper pole volume at 12 days after a breast augmentation.  This is magnified by the use of saline implants, HP implants, high volume implants, and placement of the implants in the sub-muscular position as you have undergone.  Your plastic surgeon can guide you trough this process but I am confident your breast shape will improve with time.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 173 reviews

Early postop breast augmentation results

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Hello 'Danielle27', thanks for your question.  Your results look as expected at this stage in healing.  Under 2 weeks is still very early in the grand scheme of healing after surgery, especially when you used fairly large implants for your small frame to go from an A cup to a full D cup.  These aggressive augmentations always initially look high and prominent before the breast skin and soft tissue gradually relax to accommodate the new volume expansion.  Your breasts look symmetric without signs of infection or wound breakdown, which are good things.  I suggest having regular follow-ups with your plastic surgeon and have some patience as it will normally take a few months for the breasts to settle and achieve the smoother, rounded aesthetic results that you desire.  Hope that helps! -Dr.92660


Parviz Goshtasby, MD, FACS
Newport Beach Plastic Surgeon

High Implants 12 Days after Breast Augmentation

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   Larger implants at 12 days are almost always a bit high.  Smaller implants may settle very quickly, but this is not what you wanted.  In addition, as implants drop one will usually drop more quickly.  Do not let this alarm you either.  You are very early, and you have to be patient.  Kenneth Hughes, MD Los Angeles, CA

Normal to Be So High 12 Days Post Augmentation?

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This is very normal in the early post operative, which you are in. Initially there is a significant amount of inflammation and scarring taking place. Over the next 3 to 6 months the swelling and the scarring process will abate while the soft tissues accommodate thus allowing the implants to "fall" into position, although the implants may settle at different times.

At this point in your recovery I would encourage you to be patient and continue to follow up with your plastic surgeon. Your results should improve over time. I hope this helps. Thank you for the question and your pictures. Best wishes.

Breast augmentation recovery

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Given the HP nature of your implants, your "look" at 12 days would be considered within the normal bell curve,  Things will relax and settle over the next 3-4 months.  Stick close to your doctor for best advice.

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.