If you have an under the muscle implant, you may find that the implant 'fluffs' a bit as they drop. So they may look bigger to you in time. What the 'fluff' means is that the muscle on top stretches out a bit and stops making the implant look flat. As it can be more round in shape, it can appear larger to you. I hate to chase a cup size as they are so varied. Good luck!

Published on Jul 11, 2012

Early results will change as swelling resolves and soft tissue stretches. I typically discourage patients from passing judgments in the early postoperative period. It will take 3-6 months before a final result can be appreciated and appraised.

That being said, as swelling subsides, volume is not likely to increase. Shape, however, will change along with projection, which can play a role in the ultimate cup size.

As always, discuss your concerns with a board-certified plastic surgeon (ABPS).

Published on Jul 11, 2012

At 3 days, there is certainly some swelling, so the breast mounds will only get smaller over time. In fact, as they settle and go lower on the chest, they will appear as being smaller. It is too dangerous to go back in after a few days? I generally recommend revisiting the size issue in four months when all swelling is gone and risks of re-operative surgery are lower.

Published on Jul 11, 2012

Thank you for your question. Your concerns are common in the early postoperative period. When breast implants are placed under the muscle, they may appear high and tight initially with less projection due to the compression of the muscle. They will settle over time and look larger, don't worry. It's too early to be concerned with the overall shape and size of your breasts. Take care.

Published on Jul 11, 2012

It is too early in your recovery to see the final outcome. Continue to see your doctor and ask lots of questions. I am sure they can answer them.

Published on Jul 11, 2012

Stop thinking in bra size; no one can guarantee you a bra size. You will drop and fluff over the next 6 months, which will vastly change your appearance. 400 cc on a 105 pound frame was probably as big as the surgeon could go; there are anatomic limits that need to be minded. Be patient.

Published on Jul 11, 2012

It is way too soon to judge the size of your final result. You need to wait three months and then, if they are still too small, you can speak to your PS to arrange a surgery to go bigger. This will involve fees in most offices (e.g. implants, OR and anesthesia costs).

Published on Jul 11, 2012

I'm sorry to hear about the “stress” you are experiencing after breast augmentation surgery. You should be aware that it is not unusual for patients to feel that they are “too small” or “too big” early on after breast augmentation surgery. Most patients who feel this way ultimately are pleased with the results of surgery once they've had time to heal and the implants have settled into their pockets. In fact, many patients who feel that they are too small immediately after surgery find, as the breast implants “drop and fluff”, that the breasts actually appear larger to them.

If, at all possible, it will be best for you to wait a period of at least 3 to 6 months before making any final decisions about the procedure that has been performed. 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.

Obviously, it is best for patients not to be making important decisions ( for example about the results of surgery and/or the need for additional surgery) while they are experiencing these emotional “ups and downs”.

I hope this helps.

Published on Jul 11, 2012

It will take a few months to determine exact size. The cup size will vary depending on where you buy your bras. 400cc will probably make you a large B small C.

Published on Jul 11, 2012

In the first week after breast augmentation, the implants are either too small or too big. There is no way to objectively determine size so soon. Trust the process of tissue relaxation and healing.

Published on Jul 11, 2012