Oklahoma City Doctors

I Feel Like Since I've Had Implants Under the Muscle, I Have Been Unable to Do Push-ups the Same Way. Will This Change?

Is this in my head, or have the implants really interrupted my ability to do many push-ups in a row? THe implants are under the muscle.

One thing that you didn't mention is how soon after your surgery you are.  Implants placed under the muscle will cause some strain and spasm to your pectoralis muscle, especially in the immediate post-operative period.  I would also guess that you will notice some changes in your chest strength or ability to perform push-ups for a while -- this is probably not a factor for the average athlete, but if you are a competitive athlete it may affect your performance for a few months.  I would also speak with your plastic surgeon.  Some surgeons would prefer that you not do push ups or chest exercises (such as bench press) for several months after a sub-muscular augmentation.  And yes, it will get better with time.  Good luck!

Anureet K. Bajaj, MD

Oklahoma City Plastic Surgeon

Is It Easy to Re Implant if I'm Unhappy with my Explant?

I'm explanting in a weeks time, my breasts were an A cup to begin with and I have 335 allergan under the muscle. I have never really liked the size they are, or the fakeness of them and actually preferred my pre op breasts ( feel etc ) but I am aware they may not return to the way they were. I have had my implants 4 years, but have had a pregnancy in that time. Im just wondering if I am unhappy with the outcome, can I re implant without extra risk? Are pert breasts possible? Lift maybe?

If you are unhappy with the current look and feel of your implants, then I agree with your decision to proceed with an explantation.  Whether a lift is necessary with the explant is a decision that only you and your plastic surgeon can make -- in other words, that decision can't be made without a consultation.  While a lift with your explantation will raise your nipple, it will not give you that fullness on your superior chest.  I have found that my patients who no longer want the look of implants are very happy with an explantation and a lift.  

One other thing to keep in mind is that it is extremely difficult to predict the post-operative size of your breasts.  And yes, if you are unhappy with the appearance after explantation, you can have the implants replaced.  I would probably recommend waiting at least 3-6 months (if not longer) before making that decision.  Good luck!

Anureet K. Bajaj, MD

Oklahoma City Plastic Surgeon

Unhappy With Results, What Is The Protocol For Breast Augmentation Revision Pricing?

1st week follow up after having BA. I was a bit shocked at my PCs attitude. He seemed to be defensive when I said I did not like the results. He also said I chose the size I have. Actually, the size looks nothing close to the size I tried on. What do I do? Normally if a revision is done would I have to pay again? I feel I went through only to be disappointed. He said they will look smaller when settled. They look small now since they are sitting so high, and nothing on bottom.

Sorry to hear that you are unhappy with your results.  However, as difficult as it may be, I would encourage you to be patient.  One week after surgery is till too soon to determine the final results -- breasts will continue "to settle" after an augmentation for 2-3 months.  Sometimes as the muscle relaxes, the breasts take on a different, more pleasing shape.  If after they have settled, you are still unhappy with the results, then I would encourage you to calmly discuss your dissatisfaction with your surgeon.  

Each practice has a different policy regarding revisions following cosmetic surgery.  Usually, most practices will give you a revision policy in writing before you have your original surgery.  I would encourage you to find out the revision policy for your plastic surgeon -- many times, you will be responsible for the cost of implants, operating room, and anesthesia (and the surgeon's fee will be waived).  Check with your surgeon.

Good luck!

Anureet K. Bajaj, MD

Oklahoma City Plastic Surgeon