Drop and Fluff Timeline: Breast Augmentation Recovery

The term “Drop and Fluff” refers to the natural healing progression following breast surgery, wherein the swelling from the procedure gradually resolves, allowing the skin covering the breasts to stretch, and the pectoral muscles to relax. As a result, the lower portion of the breast implant shifts downward, filling out the lower pole of the breast and creating a more natural and rounded appearance.

The swelling from surgery resolves 🡆 the skin covering the breasts stretches 🡆 the pectoral muscles relax.

In the initial weeks after surgery, it is common for the breasts to appear high and tight on the chest. However, within a few days, the implants will begin to drop, becoming more noticeable around six weeks, and typically reaching their final position by three months. However, it is essential to note that complete healing and settling may take up to 12 months. 

Once the implants have finished dropping, and the lower pole has fluffed, you may observe that your scar appears to move upwards. At this point, you should be able to feel the edge of the implant at or just above the inframammary crease, indicating that the implant has settled correctly within the pocket. 

Asymmetry in the Drop and Fluff process is not uncommon, with one breast potentially progressing faster than the other. This natural asymmetry is entirely normal and should not cause concern, as breasts are seldom perfectly symmetrical. It is essential to remind oneself that two different surgeries on distinct body parts will heal at different rates. 

Some important considerations during the Drop and Fluff process include:

• The implant in the breast with more space typically drops faster.
• The process may be slower on the dominant side due to stronger pectoral muscles.
• Patients may notice that their breasts appear to increase in size during the Drop and Fluff phase as everything relaxes to accommodate the new implants.
• Textured implants may have less dropping compared to smooth implants due to gripping the tissue.
• Over time, round implants may take on a somewhat anatomical (teardrop) appearance because of gravity.

In rare cases where the breasts do not seem to be dropping at a normal rate, it may indicate potential issues like capsular contracture or incomplete muscle release in creating the pocket. If after six weeks, the implant does not appear to have dropped or filled out the lower pole of the breast adequately, it is advisable to consult your Doctor.

The Drop and Fluff process requires time, and immediate results should not be expected. Progress can be influenced by factors such as pre-existing pectoralis tightness, implant size, and the firmness of breast tissue and skin. Trust in the healing process and follow postoperative guidelines for the best outcomes.

THE DROP AND FLUFF TIMELINE

A big big thank you to our amazing patient for sending in these photos and allowing us to share her progression.

– Nurse