Will I get more cleavage as I “drop and fluff”? (photos)

Question

Loving results so far! This is day 4 post op. Doing my massages. Obviously things are still sitting high and tight- but will my boobs drop a little closer together as they heal?! Is there a way to tell?

Daniel Barrett, MD · Answer

Dear mcalawso,
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 4 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

and drop and fluff... but the space between the mounds will not miraculously decrease.  With push up bras, they may meet and kiss but otherwise you will not have a smaller space.  If that was very important to you, it should be been brought up in your pre-op planning so your surgeon could have counseled you on the risks of diminishing the inter-mammary distance.  You look like you will have a great outcome with what you have and realize how much better you are than with what you started with.

Tom J. Pousti, MD · Answer

I think that you have a good understanding already in that it is too early to evaluate the outcome of the procedure performed. Having said that, I do not think that the space between your breasts will change much, if at all,  as the breast implants "drop and fluff".
Generally speaking, breast implants will "drop" into the pocket that was created during surgery and massaging the implants and downward may assist in the dropping of the implants after surgery (for those patients who want to help with the settling of the implants). The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, size of breast implant utilized, and concerns such as pre-existing breast asymmetry.  Also, in my opinion, the "drop and fluff” phenomenon does hold some validity; as breast implants “settle”, many patients feel that their breasts actually look larger.
As breast implants "settle", the nipple/areola complexes appear higher on each breast mound.
  Best wishes for an outcome that you will be pleased with long-term.

Ashish K. Jain, MD · Answer

They will not drop closer together as you heal. The placement of the implants and your natural cleavage is based on your anatomy pre-op. They will, however, become softer as you heal and you will be able to push them together to form the look of the cleavage you desire.

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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