Video: Breast Implant Dropping, Fluffing and Overfilling

Today, I answer questions about breast implants dropping and fluffing, and why surgeons overfill saline implants. Hey guys, today I'm going to be talking about the basics of dropping and fluffing. Now I'm sure you hear terms all the time like, "dropping and fluffing," "cc's," "overs and unders," and it gets a little overwhelming.

Video Transcript

Today I'm going to be talking about the basics of dropping and fluffing. Now I'm sure you hear terms all the time like, "dropping and fluffing," "cc's," "overs and unders," and it gets a little overwhelming.

So I'm going to break them down for you.

The first thing I want you to know is that dropping and fluffing is really dependent on overs or unders—whether you get your breast implants over the muscle or under the muscle. When they are over the muscle, you're not going to have a lot of dropping (because the breast implant is not being squeezed by your breast muscles)

That's why post-op, you see a lot of girls with breast implants up to here. That's because your chest muscles are squeezing it to your chest. But with overs, you don't have that issue. So really, this only applies to women who get breast implants under the muscle. So this is for you guys...

What to Expect the First 6 Months

Now initially post-op, when you get your breast implant put under the muscle, it's going to be really high, kind of hard, and taught. Because you just had surgery, your muscles are tense and stressed from that—so they are going to be squeezing the breast implant really tightly against your chest.

Over time, dropping will occur. Which means as the muscle relaxes, your breast implant is going to be really tight against your chest, and when it drops, it's going to relax into it's space. It's going to drop down into the portion of the breast that it's supposed to be in.

With fluffing, it's when the breast implant drops and then fluffs out the lower portion of your breast. So at first it seems like your breast implants are really high up, really hard, but it's temporary! They are going to drop into place and fluff out the breast.

This whole dropping and fluffing process can take anywhere from six weeks to six months.

I say six months, because that was me. You can imagine waiting six months, you can get pretty antsy and impatient. So one thing I would suggest that all women do is initially post-op, just take pictures once a week. Kind of like taking baby bump when you're pregnant.

You're going to want to see your progress. Seeing your breast implants drop over time is going to keep you from getting really discouraged. For me, I had to do that, because I was getting discouraged. So I took a picture every week, and I could see those little changes. That really helped me to relax, feel like things were going ok, and that nothing was stuck.

I know a lot of women think that if their breast implants are up too high for too long, that something is wrong. But if you take pictures, you can see those subtle and gradual changes. It's reassuring and it gives you a sense of peace through your recovery process.

I highly, highly, highly encourage that you take progress pictures.

Questions and Answers

"Do you think I should go with 350cc's or 375cc's?"

First, I want every to know that a 25cc difference is only 2 tablespoons. So think about how much liquid that is. It's really not going to be that noticeable of a difference. Unless you're getting saline, I would encourage the conversation with your plastic surgeon.

Otherwise, I would just go with whatever your gut tells you if you're getting silicone. You're really not going to see a difference between 25cc's. Whichever you feel the most at peace with, that's the one I would go with.

Now the reason I brought up saline, is because a 25cc difference can actually decrease the chances of rippling. Which is when the breast implant ripples around the edges, and you can see it a little bit on the side of your breast.

A lot of surgeons will suggest overfilling the breast implant anywhere between 15cc's to 50cc's. So that's the only time I would ask, if you're worried about 25cc difference, are you getting silicone or are you getting saline?

So silicone, not a big difference. Saline, you might want to talk to your surgeon about overfilling if that's why they are asking you about a 25cc difference. That would be my suggestion.

"What does overfilling the breast implant mean, and why do women get it?"

Well that's kind of perfect, we were just talking about that. Overfilling the breast implant means putting more liquid into the breast implant than it's supposed to have.

Now, silicone breast implants cannot be overfilled. They already come pre-filled, and there's nothing you can do about it. They come to your surgeon's office already ready to go.

But with a saline breast implant, it's an empty shell. So let's say you have, for example the last question, you a 350cc saline shell breast implant. You can actually put more saline into it to decrease rippling. So you overfill it to decrease that aesthetic complication. It's not harmful, it's just something you're going to see. Overfilling can greatly decrease rippling.

So why do women get it? To decrease rippling. That's the simple answer. When you overfill, like I said earlier, it's usually 15 to 50cc's. I have saline breast implants, and mine were overfilled 50cc's. I have a tiny bit of rippling, but I never see it. It's only when I'm bending over or reaching for something. But how often am I topless reaching for something? Not that often, so it really doesn't bother me.

So there you have it. Those are the questions! If you guys have anymore, just leave questions in the comments section below and I will try to answer them next week.

Thanks for stopping by, and I can't wait to connect with you guys!

Thoughts from Dr. Michele Roughton

There's a lot of great information in this video. You will definitely notice a gradual change in the appearance of your breasts after surgery as the implants settle into place and your tissue adjusts to having them there.

That process typically does tend to stabilize around the 6 month mark, and of course, you notice more of a change early in the first few weeks, and a more gradual difference over the following months.

For women with implants under the muscle, we have found our Rapid Recovery exercises to be incredibly beneficial in helping the muscle to relax, which really speeds up your recovery.