Is 800 ccs too big? Will they ever drop enough?

Question

I started as an A cup barely and I put in 800 ccs of high profile, saline, and through the transaxillary approach on each breast. It's been 3 weeks and they're so high. I know it's early and it takes 6 months to drop but now I'm wondering if I went too big. I want more lower pole fullness. Do I have enough tissue to ensure it will drop properly? Do I have to do another surgery? What do I have to do to achieve the look I want in my wish photos? If I wait, will I achieve the look I want?

Mark E. Mason, MD · Answer

800cc seems like a very large implant based on your pre-op photos. However, you are DEFINITELY still swollen and high and they will still drop. Have you been back for a follow-up with your surgeon? It is common for implants to stay high on leaner patients, and sometimes we will give them a strap that applies pressure to the upper pole to help the implants drop down. I would ask your surgeon about this. I would definitely encourage waiting at least 3 months before considering a revision, because you want to be sure they have had time to settle before adjusting your inframammary crease. Best of luck!

John L. Burns Jr., MD · Answer

Your skin envelope was very tight preoperatively and you jumped to the largest sized implant available.  To make room for the implant, the upper pole expanded and there is limited room in the lower pole for the implant to drop.  I'd definitely give it some time but it you continue to be unhappy with the appearance then I'd suggest downsizing to an implant with a base diameter equal to your native breast.

Michael E. Decherd, MD, FACS · Answer

It is hard to know exactly how it is going to play out, but I doubt they are going to end up like your wish photos.  Preop you are relatively tight in the lower pole...If your fold was lowered I think you would be seeing it now.  They will settle some, but I would talk to your surgeon first.Good Luck!

Ashley Gordon, MD, FACS · Answer

Hello and thank you for providing the photos. Your lower
pole was tight prior to surgery, so it will take several months for the skin to
stretch to accommodate the implants. I would definitely suggest seeing your
surgeon to express your concerns. They might have suggestions (such as wearing
a strap) that could potentially speed up the process. Best wishes!

Jonathan Weiler, MD · Answer

Great quesiton, hard to tell without a exam , would allow your body to heal and tissues to stretch for at least 6 months before anything is done, and discuss your concerns with your surgeon, good luck in your healing process...

Is 800 ccs too big? Will they ever drop enough?

Answers (9)