I'm 9 weeks post op, after having subglandular saline implants. Are they done moving and forming?

I have tubular deformity. I lost 90 lbs and went from a 38D to a 34 b. I had 300cc smooth round moderate plus saline implants filled to 360cc. They were put on top of the muscle. They settled pretty quick and i was just wanting to know if they were likely done dropping and fluffing.

Answers from doctors (12)


It can take 3-6 months to reach a final result. The initial period of "fluffing" will occur in the first 4-6 weeks, during which the implants settle as soft tissue stretches to accommodate the added volume.

I discourage patients from passing judgments in the early postoperative period. While you have likely past the point of "fluffing", there are still changes expected as you continue to heal.

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

Answered by The Institute of Aesthetic Surgery (View Profile)

It can take 3-6 months to reach a final result. The initial period of "fluffing" will occur in the first 4-6 weeks, during which the implants settle as soft tissue stretches to accommodate the added volume.

I discourage patients from passing judgments in the early postoperative period. While you have likely past the point of "fluffing", there are still changes expected as you continue to heal.

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

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Jun 09, 2016

They will slowly descend. Always wear a bra. Generally, over the muscle is not desirable placement. What is fluffing? This is not a medical term or a described term of resolution, but some Internet term--forget it.

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Answered by Barry J. Kaplan, D.O.

They will slowly descend. Always wear a bra. Generally, over the muscle is not desirable placement. What is fluffing? This is not a medical term or a described term of resolution, but some Internet term--forget it.

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Jun 07, 2016

In my experience, it can take up to 6 months for the breasts to settle. Good luck.

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Answered by ELLIOT B. DUBOYS, MD, FACS

In my experience, it can take up to 6 months for the breasts to settle. Good luck.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on Mar 24, 2016

We would need to see you to determine what the outcome is and will be. You should discuss with your surgeon.

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Answered by Kenneth L. Stein M.D. FACS

We would need to see you to determine what the outcome is and will be. You should discuss with your surgeon.

Published on Jul 11, 2012


Robert J. Brueck MD, FACS

Published on Mar 24, 2016

If you are nine weeks postoperative, then I think you are probably done settling. But there will be the effects of gravity over the years as you go forward.

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Answered by Robert J. Brueck MD, FACS

If you are nine weeks postoperative, then I think you are probably done settling. But there will be the effects of gravity over the years as you go forward.

Published on Jul 11, 2012


Paul Wigoda M.D.

Published on Jun 17, 2015

I usually tell my patients it takes 3 to 4 months for implants to settle but even between 4 months and a year, there will be some additional changes...they may drop a bit more and they will get softer. If you have tubular breasts, the process may take a bit longer.

Paul Wigoda, MD

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Answered by Paul Wigoda M.D.

I usually tell my patients it takes 3 to 4 months for implants to settle but even between 4 months and a year, there will be some additional changes...they may drop a bit more and they will get softer. If you have tubular breasts, the process may take a bit longer.

Paul Wigoda, MD

Published on Jul 11, 2012


John J. O'Brien, Jr. M.D.

Published on Jun 17, 2015

Hello, and thank you for this question. More than likely the majority of your settling and dropping of the implants has occurred at this point. I would recommend you get a followup examination from your physician including a physical examination should you have any additional concerns at this time.
Best of luck.

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Answered by John J. O'Brien, Jr. M.D.

Hello, and thank you for this question. More than likely the majority of your settling and dropping of the implants has occurred at this point. I would recommend you get a followup examination from your physician including a physical examination should you have any additional concerns at this time.
Best of luck.

Published on Jul 11, 2012


Joseph M. Perlman, M.D.

Published on Jun 17, 2015

Consult with your physician first of all. I tell my patients, particularly with challenging cases like tubular deformity, that your breasts are going to go through changes over the first six months. I also tell my tubular deformity patients that they may need a secondary procedure to make the breasts more symmetric and to do minor corrections

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Answered by Joseph M. Perlman, M.D.

Consult with your physician first of all. I tell my patients, particularly with challenging cases like tubular deformity, that your breasts are going to go through changes over the first six months. I also tell my tubular deformity patients that they may need a secondary procedure to make the breasts more symmetric and to do minor corrections

Published on Jul 11, 2012


More About Doctor James Fernau MD

Published on Jun 17, 2015

Final results are often at 3 months.
You still have a few weeks before final healing
Best wishes

Answered by James Fernau MD (View Profile)

Final results are often at 3 months.
You still have a few weeks before final healing
Best wishes

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Jun 17, 2015

Thank you for your question.
Unfortunately, without an examination, online consultants would not be able to give you good, accurate information regarding your implants settling.
Best to visit with your surgeon so that he/ she can give you the information you are seeking (as he/she knows your history the best).
Best wishes

Answered by Tom Pousti, M.D. (View Profile)

Thank you for your question.
Unfortunately, without an examination, online consultants would not be able to give you good, accurate information regarding your implants settling.
Best to visit with your surgeon so that he/ she can give you the information you are seeking (as he/she knows your history the best).
Best wishes

Published on Jul 11, 2012


More About Doctor Christopher Pelletiere, MD

Published on Jun 17, 2015

Most patients can take anywhere from 2-6 months to stop changing. If you really had tuberous breasts ( a lot of patients are told that but don't really meet the criteria) and your surgeon had to score and shape the breast tissue internally, then it can be on the longer side. Your surgeon, on examination, should be able to guide you with regards to where your recovery is at. I hope this helps.

Answered by Christopher Pelletiere, MD (View Profile)

Most patients can take anywhere from 2-6 months to stop changing. If you really had tuberous breasts ( a lot of patients are told that but don't really meet the criteria) and your surgeon had to score and shape the breast tissue internally, then it can be on the longer side. Your surgeon, on examination, should be able to guide you with regards to where your recovery is at. I hope this helps.

Published on Jul 11, 2012


Otto Placik, MD

Published on Jun 17, 2015

Probably 80-90% of final result. In my experience with constricted breast treatment, it generally takes about 6-9 months to see the final result. However this will vary depending on the degree of the constriction as well as the tmrechniwues used (radial relaxing incisions) and the individual's tissue laxity.

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Answered by Otto Placik, MD

Probably 80-90% of final result. In my experience with constricted breast treatment, it generally takes about 6-9 months to see the final result. However this will vary depending on the degree of the constriction as well as the tmrechniwues used (radial relaxing incisions) and the individual's tissue laxity.

Published on Jul 11, 2012


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