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.