There will always be some degree of "dropping/fluffing" when adding volume as the tissue needs to stretch to accommodate. This often takes a few weeks to occur, with a final result not being appreciated until 3-6 months post-op.

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

Published on Jul 11, 2012

Normal healing includes the following:

* HEALING OF SENSORY NERVES: Tingling, burning or shooting pains, which will disappear with time and should not alarm you. These symptoms indicate regeneration of the sensory nerves. If these sensations cause pain, repeated, local self-massage helps.

* ASYMMETRY: The two breasts commonly heal quite differently. One breast may swell more, feel more uncomfortable, or have a different initial shape. After complete healing, they will be more similar and natural. You must have patience, but if this causes concern, ask questions of the doctor or the nursing staff.

* SHAPE AND CONTOUR: The final shape of your breasts will start to look its best approximately three (3) months after surgery. It takes time for the skin and muscle to stretch and relax around the new implant. The breast will often look higher, firmer, and “less natural” in the first three (3) months. It can take up to a year to see your final result.

* FOLLOW-UP EXAMS: These are generally done in 1 week, 2 to 3 weeks, 3 to 6 weeks, 3 months, 6 months to 1 year, and 1-2 year intervals. These are included in your initial surgical fee.

Published on Jul 11, 2012

You should ask your plastic surgeon about this. I don't understand what you mean by "fluff." If your implants are underneath your muscle, then they normally do "drop" with time.

Published on Jul 11, 2012

It depends on what the surgeon did to the implant pocket. If he did nothing but exchange the implants, then they may not drop much. If he opened up the pocket inferiorly, then they may drop.

Published on Jul 11, 2012

Anytime you change to a larger size, the breasts will need to settle some. However, the amount of swelling post-surgery is usually pretty minimal, and unless the pocket had to be drastically altered, should accommodate the size change pretty quickly. Most patients find that the breasts settle much faster and see the final result within a week or two. I hope this helps.

Published on Jul 11, 2012

Thank you for your question.
Unfortunately, without an examination, online consultants cannot give you accurate advice.
Best to visit with an experienced plastic surgeon to discuss your concerns.
Best wishes

Published on Jul 11, 2012

There should be further expansion of the tissue envelope, which will lead to a drop and fluff phenomenon. It just may not be as dramatic.

Published on Jul 11, 2012