240 cc silicone Unders. Are they finished dropping and fluffing? 12 weeks post op! (photos)

Question

I had surgery for a BA 12 weeks ago. I am unhappy that the doc said he could only fit 240cc in, I'm 5'3 and 105 lbs. I was a 32a before and so far, I'm wearing a 32d. I just feel like for 6k 240 cc is a waste. What is your professional opinion? Are they still going to drop and fluff more? And how soon can I go back to get bigger implants?

Jerome Edelstein, MD · Answer

Hello,Thank you for the question and photos. Your breasts are not likely to change in size now, though they may soften more. They appear to be very proportionate to your frame. It is true that there is a limit to how much volume can be placed initially, though once you are completely healed- usually after 6 months, you could discuss options to increase the size slightly. All the best

Martin Jugenburg, MD · Answer

At 3 months now there will be little change. They will soften with more time. You can exchange for larger implants if you wish at any time now. Regards,

Emmanuel Mallol Cotes, MD · Answer

Thanks for sharing your concerns with us.Its early to talk about final results.In my practice, after performing a BA I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling.Kind regards,Dr. Emmanuel Mallol.

John Michael Thomassen, MD · Answer

Congratulations! Beautiful results.  You should be close to your final appearance at this stage.  They look very natural which may not be the case with larger implants.  You can do an exchange for larger implants at any point from now on.

Nelson Castillo, MD · Answer

Thank you of your question and I am sorry that your results have not been what you anticipated.  You appear to have a very natural and conservative augmentation and by three weeks if you haven't seen many changes you are approaching your long-term results - in your 11 week photograph it appears that your implant is well-seated behind your nipple.  Having not been present for your consultation about your desired size it is difficult to weigh in on your size as there are limitations on implants based on a few key breast parameters, namely your chest width.  If still unhappy at six months I would recommend another evaluation or second opinion as to a further increase in implant size.  Hope this helps.

Steven Wallach, MD · Answer

Depending upon your frame and goals, implants are chosen.  If you are unhappy with the size, then I would wait 4-6 months before considering a revision to possible go large.

Alyson Wells, MD, FACS · Answer

It looks like you have had a very lovely result from your procedure--very natural, but full and projected!  At 12 weeks, you have likely had the majority of the dropping and resolution of the swelling (unless you feel like they are still changing from week to week).  A 240 cc implant is a nice, moderate size, considering that you appear very petite from your photos and measurements.  There is almost always an upper limit in terms of size of implant that can be placed, and this is based on the width of your chest, how curved/sloped your rib cage is, how tight/thick the muscle is, how tight the skin is, and how long the muscle is.  Placing overly-large implants into a patient with tight skin and a narrow chest is inadvisable because there can be wound healing issues and overall suboptimal appearance.  Once implants are in place and well-healed, it usually is possible to replace with somewhat larger implants if desired.  I would wait at least 6 months after the original operation if you were considering up-sizing.  Best wishes!

Saira Saini, MD · Answer

Hello April,Your breast augmentation results appear natural and there is significant improvement (32A-32D).  The size of the implants are dictated by many factors including chest width, breast width, soft tissue coverage, location of the Nipple/infra-mammary fold/sternal notch, laxity of the overlying tissue/skin stretch, quality of the overlying skin.I think that a lot of the problems with breast augmentation occur when these patient specific tissue parameters are not followed.  These tissue specific criteria are hard to judge on a 2D photo.  A thorough exam and honest discussion about size are essential with your plastic surgeon to determine if you are a candidate for revision of breast augmentation.

Darryl J. Blinski, MD · Answer

Your expectations are in question! Appears as excellent results! But if you desire larger implants revision can be done but you would need to pay for this surgery.

240 cc silicone Unders. Are they finished dropping and fluffing? 12 weeks post op! (photos)

Answers (9)

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