Saline Breast Aug Do They Get Bigger After Swelling? (photo)

I am 3 wk po and I asked for a big C almost D at first with all the swelling I thought I got what I wanted but once the swelling subsided I'm like a small C? I asked my ps and he said they're still a little swollen when the swelling goes away they will get bigger? True/False??

Doctor Answers 7

Do breasts look the same after dropping?

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Two things happen and seem paradoxical. As as the swelling goes down there will be some shrinkage but at the same time as the muscle relaxes your breast projection grows. In general the breast shape and size proportionality improves..

Breast implants initially after surgery when placed in a submuscular position often give superior fullness that corrects itself with time, the "fluff and drop" phenomena. In reality the pectoralis major muscle takes a while to adjust its size to accommodate the implant as well as occasional muscle spasm which keeps the implant projection higher than its final resting shape. Additional variables include:laxity of skin, size difference during prior pregnancies, position of implant,size of muscle, and size of implant.
As the muscle relaxes the projection of the implant often increases and the breast shape improves. Massage and use of a superior placed elastic strap can often make this process go faster.

When swelling subsides...

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As the swelling subsides, your breasts will look a little smaller.  What your plastic surgeon may have been referring to is that when your implants drop, you will notice more fullness in the lower portion of the breast. 


Size Problems with Breast Implants

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Unfortunately, as the swelling goes down the size of your breast may be a bit smaller.  it is important to communicate your desired result with your surgeon prior to surgery through pictures.

Dr. ES

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Saline Breast Aug Do They Get Bigger After Swelling?

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Something was "missed in translation"!!! After swelling the implants will look smaller not bigger. I'm confused by your statements. Seek further clarification. 

Concerns about Breasts Size after Breast Augmentation?

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Thank you for the question and pictures.

There is a lot of discussion surrounding breast size change after breast augmentation surgery.  Some patients feel that their breasts look larger after the swelling around the breast implants dissipate;  this may be because the effect of the breast implants becomes more pronounced once the surrounding swelling subsides.

Other patients feel that the breasts look larger as a breast implants “drop and fluff”;  it may take several months for breast implants to fully settle  and for patients to see the final breast size.

My best advice for patients is to not judge the final results of surgery until they are at least 3 to 6 months out of their procedure. Otherwise the potential for disappointment ("I'm too small or too big") is significant.  also, I suggested patients do not judge the final result surgery and base their “happiness” on a specific cup size,  that can vary depending on who makes the bra.

In your case, I would suggest continued patience and follow up  with your plastic surgeon.

Best wishes.

Breast aug swelling

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Patients often will say their breasts appear to get larger as they heal...this is due to the resolution of swelling around the breast mound that can make the breast appear smaller at first....keep in mind that there are no strict industry standards for cup size and one manufactorer's c cup may be another's d cup...also european bra cups are often sized differently than patient...

Leonard T. Yu, MD
Maui Plastic Surgeon

Do They Get Bigger After Swelling?

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It may seem self-contradictory, but it can be true. Much has to do with perception. In some patients the swelling that occurs will be largely around the edges of the implant, and this can decrease the apparent contour of the enlarged breast and make it appear smaller.


I might also add that it is not uncommon for women to think the implants look larger the first few days after surgery even if there has been no change in the size and swelling, etc. 


Sometimes the shock of the change wears off quickly and what looked large at day one looks not so large a few weeks later.


Patience.  Best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

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.