Will I Still See a Drop and Fluff After a Second BA? My Nipples Look Too Low.

I did a redo to go bigger 8 days ago and I know I dont have as much dropping and fluffing to do like my 1st BA, but my nipples seem to low I am 5'4 100lbs, tiny ribcage of 25 & previously had 375cc HP silicone unders 3 years ago. I got 550cc Ultra High profiles this time. I was very high and tight with my first BA but they dropped beautifully after about a year and my nipple were centered Do you think that even after a second BA I'll still see a drop and fluff and raising of the nipples?

Doctor Answers 4

Drop and fluff after breast augmentation

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Thank you for your question. Drop and fluff refers to post-operative period in which the breasts begin to descend and fills out the lower half of the breast. It may take several months for this to happen and can be encouraged with breast massage and compression. It may appear that the breast enlarges as the lower aspect of the breast fills out (at the expense of the upper portion of the breast).  The drop and fluff should also occur with a second augmentation.

Drop and Fluff after Revisionary Breast Surgery?

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Thank you for the question.

Unfortunately, without knowing exactly what was done during the procedure ( for example whether there was any manipulation of the existing breast implant pockets), it  is not possible to give you an  estimation as to how much “dropping” can be expected after your breast revisionary surgery.

If the breast implant pocket was not opened inferiorly,  then I would not expect significant movement of the breast implants inferiorly after surgery. Generally speaking, the “drop and fluff"  phenomenon occurs more so after the  initial breast augmentation surgery as  opposed to the revisionary breast surgery ( unless some breast implant pocket manipulation occurs during the revisionary surgery).

Best to ask your plastic surgeon exactly what was done and what he/she expects to occur.

 I hope this helps.

Best wishes.

Will I Still See a Drop and Fluff After a Second BA? My Nipples Look Too Low

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It would sure be helpful to see some photos for those of us who respond to the questions on this site. It is quite common for the implants to seem high early in the postop course. As you saw happen last time, it is most likely that the current implants will "drop" over the next few months. 

Thanks for your question, best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

Will You See a Drop and Fluff After a Second Augmentation

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Factors which contribute to the outcome are #size, #shape, and #profile.  The #profile is determined by the amount of #projection versus roundness that the you desire, as well as the #size of the implant and size of your chest. Also, the placement or incision location will also have an effect on profile. Another element to a satisfying result of your #augmentation is realistic #expectations. Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. 

Your #healing will continue for 2-3 months following your #revision procedure. There may be some swelling, bruising, malposition, color differences. Sensation will be abnormal and your scars will also be changing.
But, it can be up to one year see your final result. Meantime, your doctor may require you to move or massage the implants within the breast pockets during the #postoperative period. #Textured implants do not require breast massage. You will be informed about this at your post-operative visits. You must have patience, but if there are any causes of concern, ask questions of the doctor or the nursing staff.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

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