I got 240cc and wondering about drop/fluffing and sizing. Any suggestions? (photos)

Question

I had 240cc placed under the muscle 18 days ago. I was 105lbs 5'4 and 32a. I woke up feeling disappointed when he told me this is the size he could fit. He said next size up (silicone) was 320 was in my armpit. I was going for a full c. Do you think I will get that? How soon can I have them done again? Should I wait for the drop and fluff process? And is 320... Is that the next size to? I feel like there is a gap, like there should have been a 280? Brand is natrelle.

Sheila S. Nazarian, MD · Answer

It is way too soon to judge your final results. It can take anywhere from 3-6 months for your breasts to fully heal and your implants to settle into their final position. Be patient and kind to yourself as your body recovers. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

Right now, you are very early on in the
post op recovery period. It will take 3-6 months for you to feel comfortable
having implants in your body and for them to settle. This time allows for you
to physically and psychologically adapt to your new body image. There are many
variables that contribute to a breast augmentation's final result. Preop size
and shape, IMF location, location of the implants and type of implant. Patients
heal at different rates and each breast will sometimes heal at a different
rate. Rest, relax, recover and heal. Please Express your concerns to your surgeon so
he/she can examine you at this time. Then reassess final result at 6 months.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

Ramiro Morales, Jr., MD · Answer

Thank you for your question and pictures.  There are a few size options between 240 and 320.  From the looks of your pictures, I would even consider going to a 350 or 375 cc implant in high profile.  As for when it is ok to re-operate and re-do the implants, I would prefer to wait at least 1 month after the original surgery date.

Nelson Castillo, MD · Answer

Thank you for your question and photographs and I am sorry that your results have not yet been what you anticipated.  Natrelles do come in a range of sizes between 240 and 320cc but without measurement of key breast parameters, and evaluation of your skin quality, it is difficult to determine what limitations may have existed to have 240 be the best size.  Though you are still early in your recovery, it is unlikely that 240cc will get you to a full C, but it may leave you with an overall very nice result.  Voice your concerns to your surgeon and discuss your original plans.  They should be able to give you a better idea as to the limitations encountered with surgery two make the 240cc right for you.

Darryl J. Blinski, MD · Answer

Hard to believe at least a 350 cc could not have been used? But over the internet very hard to determine if the tightness/fit was really an issue./ Best to see second opinions in person..

Tom J. Pousti, MD · Answer

Congratulations on having undergone the breast augmentation procedure.
You should be aware that a significant percentage of patients at your stage of recovery will feel that they are too big or (more commonly) too small.I routinely ask my patients to wait at least 3-6 months before evaluating the end results of the breast augmentation surgery. This waiting time allows patients to (usually) physically and psychologically adapt to the new body image.

There are both physiological and “psychological” reasons to wait on having revisionary surgery. From the physiological standpoint, it takes many months ( and even up to one year) to see the final results of surgery. factors such as swelling, tissue contraction, skin redraping, implant shifting etc. come into play.

From the psychological standpoint, patients undergo an “adaptation period" during which time they get used to the changes that the surgical procedure has brought about. Severe emotional swings can also occur after any type of surgical procedure.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. Although online consultants cannot predict whether or not you will be pleased with the long-term outlook, of the procedure performed, it is safe to predict that the breasts will change. 
In your case, I would suggest continued patience. Continue to follow-up with your plastic surgeon.
Best wishes.

Theodore Nyame, MD · Answer

Thank you for the posing the following question. I agree with the answers already provided. It will take up to three months for you to be close to your final result. Bra sizes are also notoriously inconsistent. This makes the use of bra sizes unreliable when considering your final shape and size. Continue to patient as the process evolves. Once again thank you for your questionTheodore T. Nyame MD Harvard Trained Plastic Surgeon

Brooke R. Seckel, MD, FACS (retired) · Answer

You are far too early postoperative to make a decision about whether you want larger breast implants.  Wait at least 3 months for the implants to drop  and assume a more natural position.  At this point the tissues around the implant are compressing the implant making it look more wide spread out on your chest.In my experience  to get a significantly larger breast typically requires between 50--100 cc of new implant  size.

Lawrence Bundrick, MD (retired) · Answer

You should definitely wait at least 3 months or so for your body to heal and your current implants to settle in. That being said, depending on what style implant that you chose, there should be several options in between a 240 and a 320. Based on your frame size, there is only so large an implant that will be able to fit without protruding into your under arm area. Again, depending on what type of implant you chose, you might consult your physician about doing a more high profile implant to give you more projection. I hope this helps. Good Luck

M. Dean Vistnes, MD - Account Suspended · Answer

At 2 weeks it is still early in the healing process after breast augmentation and some asymmetry is to be expected. As the implants soften, settle and drop the breast shape will change along with cleavage. Give your body time to heal. Be sure to keep any scheduled follow up appointments you have for his or her evaluation and advice . Good luck! Dean Vistnes,M.D.Vistnes Plastic SurgerySan Francsico Bay Area#realself #breastaugmentation

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