350cc Mentor silicone teardrop breast implants on tubular breasts (Photo)

Your lower pole is not expanded because it's been only 4 days since surgery. You tuberous breasts have been around a long time and the lower pole tightness is not just going to simply go away by adding volume. It will take 12 months for a full lower pole expansion. The tear drop implants are the bests at expanding the lower pole. Be sure to follow with your plastic surgeon. 
Best wishes, Dr. ALDO

Thank you for your question and photos. You are still early in the post-operative period. It typically takes 3 - 6 months for the swelling to subside and and implants to settle into proper position. Please discuss your concerns with your board certified plastic surgeon. Also, make sure you follow all of your plastic surgeons post-operative instructions regarding level of physical activity and use of a support bra. Hope this helps and good luck with your recovery.

I am sorry to hear about your concerns after breast augmentation surgery. Remember that your plastic surgeon will always be your best resource when it comes to specific assessment, advice, and/or meaningful reassurance.Generally speaking, breast implants will "drop" into the pocket that was created during surgery. 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, and size of breast implant utilized. Normally, it takes about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other.   Remember also that patients with constricted/tuberous breasts have relatively tight lower breast skin/tissues and that their breast implants may take a longer period of time to "settle" into the relatively tight tissues of the lower breast poles. In other words, patients undergoing this type of surgery should be aware of the need for patience and time before the lower breast poles "round out".  Also, generally speaking, as the breast implants "settle" into their positions, the nipple/areola complexes seem higher on each breast mound ("perkier"). 











Many of my patients report that as the swelling around the breast implants (for example, in the sternal area) decreases, they feel that their breasts appear more projecting. 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. 



 There is definitely a physiologic and "psychological" (body image)  adaptation process that occurs, at differing rates for every patient, for patients who undergo any type of aesthetic surgery, including breast  augmentation surgery.  Understandably, patients often experience significant emotional "ups and downs" around the time of surgery.



 Best wishes.