1 week post op, are my implants too big for my frame/anatomy?

Question

I am 1 week post op of primary breast aug. 345cc/365cc high cohesive gel moderate profile L/R. Was in a lot of discomfort post op, a lot of swelling to sternum. Next day, was told I am very tight, first I’d heard that from surgeon. I specified that 350cc was too big when I tried sizers at preop. Insignificant comfort change since day 1 or 2 post op and a lot of tenderness to touch throughout ribs and sternum. Could implants that are too big be reason for continued discomfort at 1wk post.

Donald R. Revis Jr, MD · Answer

Good afternoon!While you are still very very early in the healing process, if you tried on the sizes and specifically to your PS that you did not feel comfortable at 350cc, and then you actually got 345/365cc, then you are correct you are likely not to love your results three months from now. Any answer as to why they went against your wishes?

Joshua Cooper, MD, FACS · Answer

It is much too early, just one week after your breast augmentation, to see anything that resembles what your final outcome will look like. I predict that you will likely be very happy with the size and your final breast appearance, but it will take MONTHS for your implants to stretch out your breast skin and settle into place. Until then, try to be patient because you'll likely look great!Most of my breast augmentation patients are very "tight" because they are starting out with hardly any breast tissue/limited skin envelope.  So, that is expected. With time your swelling will subside, your breast shape will change considerably, and you'll look awesome!  So hang in there. Thanks for sharing!

Daniel Barrett, MD · Answer

Dear hfec,
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 7 days  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

Curtis Wong, MD · Answer

Not liking a 350 cc sizer translates to not wanting a 390+ implant.  You are smaller than that and from your photos, there is nothing alarming on how you look.  The implants definitely are not 'too big' for your frame and as they soften and settle, I think you should have a great outcome.  Patient discomfort is very unique to every person and never the same so you cannot compare your recovery to that of someone else.  Plus, technique used at surgery also makes a big difference in how much discomfort you will have so every recovery is a unique one too.  Let your surgeon know of your concerns and let your surgeon do any worrying if you do have concerns about how you are healing... after all, your surgeon should want the best outcome for you since you are a direct reflection of what kind of work he/she does.

Johnson C. Lee, MD · Answer

I would not be too concerned at one week if you feel your implants are too big. All implants will look overly large during the first few weeks of surgery while you are the most swollen. Even with small implants being placed, your body will tend to react by swelling the breasts as much as possible. This is why a bra or wrap is usually recommended to help reduce the swelling. Your tenderness should improve as the skin tension relaxes as you heal. You will look and feel better week by week and it is something you should look forward to. Hope this helps!Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

Diane I. Duncan, MD, FACS · Answer

Thanks for your question! At one week post-op, it's unwise to start assessing your results. Everyone experiences post-op discomfort differently irrespective of implant size so no one could say for sure that your implants being too big is precisely what's causing the pain. Wait at least until 6 weeks to start considering judgement! Best of luck!

Jeffrey Nelson, MD · Answer

I don't think you will have to worry at all. One week after surgery most patients aren't anywhere near their result. Sometimes it's even cool to do some home selfies at one month 3 months and 6 months and look back at how much things settle and change. You will forget since you see yourself every day . Be patient, trust the choices you and your surgeon made and my guess is in a few months you will look back and wonder why you worried. Have a mellow recovery.

Marcus Davis, MBBS, MRM, FRCSEd (Plast) · Answer

Dear Efec,
Congratulations on your surgery last week - I am sure that you will be delighted with the final outcome of your augmentation.
Thank you for the question and pictures, the answer to which is that it is far too early to be able to comment upon size. You are only one week post-surgery and as a result will still be very swollen. This swelling can take several months to resolve, so it is only than that you will be able to more accurately comment upon the size and their proportion to your frame.
Be confident in the size that you chose during the pre-surgery consultation process with your Board Certified Plastic Surgeon.
I wish you well.
Marcus

Ven Erella, MD · Answer

Thank you for your question. It is too early to comment about size. Your breasts will continue to change in the coming weeks. Swelling goes down and implants descend. It is better to re evaluate in 3-4 months with your PS

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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