2 weeks post op- will Sientra (385cc) textured round implants drop or get any smaller? Will they come in a bit more? (photo)

One of the ideas of texturing the surface of implants is to get them to adhere and stay in position better. However, your implants appear to be in a good position and you may be disappointed if the y drop! It is early in your recovery and there is usually some swelling at this stage too.

Thank you for your question.  You are still early in your post operative course. What you are seeing mostly is spasm and swelling in the upper part. They usually will get to their final position in 6 to 12 months. One will usually drop faster than the other, and the shape may go through various changes.  Please follow your Board Certified Plastic Surgeon's post op instructions. For example; we like message, but some surgeons will have you wait, or do it in a specific manner. Please let them know your thoughts and concerns.
Jeffrey J. Roth, M.D., F.A.C.S.
Board Certified Plastic Surgeon
Las Vegas Plastic Surgery

Thanks for your question
regarding size and swelling post-op. Immediately after surgery, new implants
will swell and feel much larger than you might expect. This is normal.
Fortunately, you're just getting started in terms of healing and adjusting to
your new implants. Two weeks is too early to be concerned about the final
position and size, and your breasts will most likely settle considerably over
the next few months. Six months post-op is a good benchmark for how your final
implant results will look and feel. You may be surprised by how much your
implants change during that time.

At two weeks you still have a lot of swelling. At 3 months you will have an idea about your final size.

I think your implants look nice at this early post op stage. They will not move in position much, and certainly won't migrate toward the midline. Your breasts are spaced relatively widely, and this anatomic fact determines implant position in your case.

Healing after augmentation with Sientra implantsyou are still swollen from surgery.  it will take 3-4 months to settle, drop, stretch.i would consider a bra or strap to push the breast together while you are healing

It takes at least  weeks to reach the 90% result- relax! You are still swollen. It is unlikely that you will get more cleavage but you can eventually wear a push up bra to achieve this effect.  It takes up to a year to see/reach the final result.  Speak with your plastic surgeon for reassurance.  Best of luck!

Hi.....your feeling is felt by most patients immediately post op.  I discuss this with patients pre op so they know that when the dressings are taken off on the first post op visit, they will be quiet different in size/shape than they will in the months to follow.  Interestingly, many patients that are worried about the size in the initial weeks following the procedure, find themselves worrying that they will not remain big enough.  So you see that there will be changes for the better for you.  I think your result is very pretty.....and you just need time to see that this new change has given you a fullness about the nipple complex/bra line that will be a wonderful change for the better.

Generally, I tell my
patients that your implants initially will appear larger and higher than how
they will ultimately look in the long term.
Patients typically are “beach ready or socially acceptable” about two
weeks after their procedure. The
implants will then continue to soften and look more natural over the ensuing
3-6 months. Regarding the right breast, I would ask you if the breast appears
different when you stand up and/or does it move off to the side when you lie down? If the answer is yes it is possible that the
pocket for the right implant may be slightly too large. Of course, your surgeon would need to examine
you to determine if this is in fact the case.

I think your results are wonderful.  Kudos to you and your surgeon.  It's been my experience over the last 2 years with Sientra  implants, that your breasts will soften and drop a little more, yielding you a sillohuette that you will enjoy for many years.  Since the implants are Gen 5 shaped, I think you will be pleased how natural and yet beautiful superior quadrant fullness that you will have for a long Time.