Slight Panic.. Will 260cc HP Silicone Implants Ever Look Natural?

Question

I am currently about a month post BA with 260CC HP Silicone implants. (surgeon recommended) I am 5'8" 125 lbs, slightly athletic build, narrow chest. I started at 32AA- lost volume after breast feeding and was looking for a very natural looking breast implant "B" cup (not pronounced rounded breasts, but rather normal natural sloping position) currently the implants are still high, and have a rounded appearance above the nipple. I hate the rounded look and am afraid that HP will always look fake

Richard H. Tholen, MD, FACS · Answer

260cc implants are conservative in size increase, adding about one cup size to whatever breast volume you had pre-operatively. If your breast base measurements were quite narrow, perhaps high profile implants were necessary to allow that volume without extending past the confines of your own breast tissue.

	But even with a narrow chest and slightly athletic build, I suspect that a moderate plus or even moderate profile implant may have been another choice (perhaps better) to decrease the height and projection that you seem to object to at this point in your recovery.

	The fact is that you will soften, settle, and drop somewhat over the next few months, so you can be assured that things will improve. If not enough, then you can discuss the options for wider base, lower profile implants and whether or not re-operation to better achieve your goals is appropriate. Best wishes!

Jeffrey J. Roth, MD, FACS · Answer

Thank you for the question.  You are very early in your post operative course.  Breast implants typically start to drop at 1 month.  It can sometimes take 12 months to get them to drop into place.  Please let your board certified plastic surgeon know your thoughts.  They will usually have protocols for the situation.  Please follow their recommendations.

Jerome Edelstein, MD · Answer

When implants are first inserted, they sit high up because your tissues are tight and gravity hasn't taken effect. Over time, natural tissue expansion occurs to allow the implants to fall into place. By this time, your breasts will have taken on a more natural contour, where the lower breasts become softer and rounder. Please wait at least four months for this to happen.This process tends to occur sooner in one breast than the other, so don't be alarmed if you find that your left drops before the right or vice versa.

Mark A. Schusterman, MD, FACS · Answer

You cannot judge your result one month post op.  Breast implants will continue to evolve for months.  Give it time.

Steven Wallach, MD · Answer

Boy, at one month the implants are probably still high and the skin has not accommodated to them. Give it time.

Slight Panic.. Will 260cc HP Silicone Implants Ever Look Natural?

Answers (10)