Your doctor wants a happy patient. Talk to him or her.

George J. Beraka, MD answers: Breast Augmentation a year post-Breast Lift?

I had a Breast Lift over a year ago while my husband was in Iraq, and was told I won't need a Breast Augmentation. I was a 36DD and am now a 36D, and I was told I had enough fullness.

Now, a year later, I am not happy because I am flat on the top part of my breasts and still have to adjust them in my bra often throughout the day. My doctor says now I will need an augmentation. Is this normal, and do I really need it? Why is it fair that I should have to pay for the full surgery now when I asked a year ago, and was told I won't need it? My husband and I are upset about me not being happy.  We have spent a lot of money, I have tons of scars, and I'm feeling uncomfortable.

 

 


George J. Beraka, MD
11 months ago

To jbunny,

What I would do in this situation is charge you for the expenses (operating room, implants, anesthesia) but not charge you a surgical fee.

A: Breast lift and augmentation are commonly done as a staged procedure

David Shafer, MD
11 months ago

Jbunny,

Unfortunately, it sounds like there may have been a communication breakdown and/or misunderstanding between you and your doctor. While it is hard to give you specifics since none of us were there for your preoperative discussions, it is common to perform breast lift/augmentation as a staged procedure (2 surgeries). Additionally, if you would have had the augmentation and lift at the same time, then your initial surgery would have included an additional surgical procedure fee for placing the implants, longer operating room costs/fees for the time taken to place the implants, and the actual implants costs. You really need to factor all of this in to your calculations when discussing the price for your upcoming surgery. Since you did not pay any of these fees before, it is not unreasonable for you to pay them now - if you do want the impalnts. It is not like you paid for them and did not receive the service - that would be an entirely different situation. However, I encourage you to discuss your concerns with your surgeon and I am hopeful that you will both be able to find an amicable solution.

David Shafer, MD
New York City

1 of 1 found this helpful
Helpful?

A: Discuss with your doctor

Steven Wallach, MD
11 months ago

Doctors do not want unhappy patients. If there was a communication problem, than this has to be addressed.  Speak to the doctor so you can be reassured about the next step.

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