Drop and Fluff is the catchy term that is used to describe the natural healing progression from breast surgery.
The swelling from surgery resolves 🡆 the skin covering the breasts stretches 🡆 the pectoral muscles relax.
This process causes the bottom portion of the implant to shift downwards and fill out the lower pole of the breast: creating a more natural, rounded appearance.
After surgery you may notice that your breasts are sitting high and tight on the chest for the first few weeks. This is normal and the implants will start to drop after a few days. At six weeks this becomes very visible, and by three months they have usually reached their final position (but remember, it takes a good 12 months before everything has settled and healed completely).
When the implants have finished dropping and the lower pole has fluffed, you may notice that your scar appears to move upwards. You should be able to feel the edge of the implant at or just above the inframammary crease. This means the implant has fallen into the correct position in the pocket.
One breast may Drop and Fluff faster than the other, which may cause some obvious asymmetry in the early stages of healing. Our breasts are almost never symmetrical. This can cause some concern, but don’t worry – it is completely normal. You need to remind yourself that you have had two different surgeries on two different body parts so they will heal at different rates!
- The implant in the breast with more space will usually drop faster.
- The process is usually slower on the dominant side – due to stronger pectoral muscles.
- During the Drop and Fluff patients may notice that their breasts actually appear to increase in size as everything relaxes to accommodate the new implants.
- Textured implants may grip the tissue and drop less than a smooth implant.
- Due to gravity, round implants will take on a somewhat anatomical appearance over time.
In rare cases, if the breasts don’t seem to be dropping at a normal rate, the patient may be developing capsular contracture or the muscle has not been completely released to make the pocket. If after six weeks the implant doesn’t seem like it has dropped and has not filled out the lower pole of the breast – consult your Surgeon.
The Drop and Fluff process takes time, and results are not immediate. Your progress can be affected by factors including pre-existing pectoralis tightness, implant size, and firmness of your breast tissue and skin.
Trust in the process!
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 Justine