Should I Have Breast Implant Revision Surgery? (photo) Doctor Answers, Tips
Breast Implant Revision: Q&A
Ask a Question

Should I Have Breast Implant Revision Surgery? (photo)

I had breast augmentation 10/9/12.When I went for my consult I told her that I was thinking 300cc implants.She thought that was too big. She told me to try some sizers, up to 240-270cc and then we would talk.When she came back in the room we agreed on 240-270cc,then after the surgery I noticed that she had put in 210-240cc. She says that she will redo the surgery but I have to buy new implants.Shes discouraging me from doing anything more and says that its a good result. Im very disappointed.

12 Doctor Answers | Asked by Pixie1966
+2

Should I Have Breast Implant Revision Surgery

Based only upon these photos, I don't see why the agreed upon size was not used. At this stage, I do not think it would be worth your while even if there were no charges at all, to go up a mere 30 cc in size. If you are unhappy with the current size, I am not sure you would notice enough of a size change. I generally discourage size changes less than 100 cc, but in your situation, I think you would benefit from a larger implant, probably a 300cc, after waiting at least 6 months. more
+2

Should I Have Breast Implant Revision Surgery

Based only upon these after photos, I don't see why the agreed upon size was used, and I am not sure why the size you wished for couldn't have been used. At this stage, I am not sure if it would be worth your while even were there no charge at all, to go up a mere 30 cc in size. If you are unhappy with the current size, I am not sure you would notice enough of a size change. I usually discourage size changes less than 100 cc, though maybe the threshold would be a bit lower for 210... more
+1

30cc change in breast implant probably not worth it

30 cc is one ounce or 1/8 of a cup. This is not a very big difference in volume and is probably not worth going through another surgery. I can certainly understand your disappointment since you and your surgeon discussed a certain volume beforehand, but surgery is as much art as science and sometimes we have to make adjustments once the procedure has begun. Looking at your photos, I'm not sure your breasts would have accommodated a larger implant - your skin looks tight... more

You might also like...

Real Stories

Breast Implant Exchange - Pasadena, CA

I had breast implants for 17 years which I felt were always too big for me. I always use to...

+1

Revision Surgery for 30 cc Increase in Breast Implant Size

To increase 30 cc, it is probably not worth pursuing further surgery. You may want to wait a few months to allow tissues to relax. If you decide you want 100 cc or so increase, this would be more reasonable. Kenneth Hughes, MD Los Angeles, CA
+1

Breast Implant Sizes

Upsizing by only 30 cc will not make a very big difference. From your pictures, your skin looks fairly tight with the implants that you have. So, you need to proceed with caution to make sure that you are not putting in an implant that is too large for your your anatomy. If you do change your implants, you may also want to consider switching to an anatomic / shaped implant like those made by Sientra. Good Luck.
+1

Breast size changes with small volume increases at a second surgery.

Greetings, Sit down with your surgeon and ask her what the final saline fill volumes were for each breast. Each 5cc you wish to add is equivalent to a teaspoon... You are seeking a very small incremental increase in your breast size when you go up 30cc. If you skin/breast cover over the implant is tight or thin, you might end up with rippling or a palpable implant with overenthusiastic size increases at a second surgery. Your experienced plastic surgeon, after... more
+1

Unhappy With Breast Size after Breast Augmentation?

I'm sorry to hear about your disappointment after breast augmentation surgery. Your case is however illustrative and may be helpful to other patients. Generally speaking, I think it is problematic to try and decide exactly what size/profile of breast implants will best meet a patient's goals preoperatively. Despite a variety of modalities available preoperatively (all of which made the helpful but not precise enough), I think the breast implant size/profile decision is best... more
+1

Breast implant revision?

For 30 cc's I am not sure you will notice a significant difference. I am also not sure why the implants desired were not used.
+1

Breast implant revision

It appears from the photos that your skin is tight. In my opinion, you should wait several more months to allow your skin and muscle to stretch before considering larger implants. The implant manufacturers sometimes give discounts to exchange implants for a larger size. Have your plastic surgeon contact manufacturer for financial consideration.
+1

Should I Have Breast Implant Revision Surgery?

This is a serious mis communication issue. You and your surgeon have a complete breakdown in pre operative and post operative trust. Unfortunately to achieve a "larger" happier result you will need NEW implants that have a cost. Plus a new surgeon and facility fees. If you came to most boarded PSs with this issue I would offer you discount secondary surgery in the range of $3,000. So try to find an understanding PS in your city to help you.
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (8)

firstalchemist 13 Feb 2013
In what state do you live?
firstalchemist 7 Feb 2013
I sympathize with you and was a little upset your doctor didn't pay attention to details after all her training. On the upside, we're only off by 30cc = less than 1/4 cup of water. 30cc wouldn't make a difference. So, in my opinion, she's offering you a fair deal. I also think she shouldn't have talked you out of 300cc because it's your choice. You look great as you are now.
Pixie1966 8 Feb 2013
She only filled them to 210cc, the difference between that and the 300s is 90cc, almost another cup size. And they are uneven, you can tell even with clothes on. And they make weird blurping sensations when you palpate them. She said she could put 70 more ccs in the ones in but then they would too firm she thinks. I dont like them at all but thank you for the compliment :)
Pixie1966 8 Feb 2013
My doctor is discouraging me from doing anything further saying that the results could be worse than what I have now. That she had a hard time getting these in. Im 46 yrs old, 5'5 and 120lbs. Ive had three children and nursed for 7 yrs all together. I have no stretch marks on my breasts and she said my skin is good. But then says that she doesnt know if my skin will handle the weight of larger implants. On the morning of my surgery we discussed implant size again she said we have the 240-270s but she was leaning towards only filling them to 240...I said I was leaning towards 270 and she told me if I thought I might want to go bigger then I should reschedule. They called me one week prior to my surgery (that had been scheduled for 6 weeks) and told me that they needed a clean mammogram so I scheduled one that week but ended up having another mammo then biopsy so I had to reschedule. I waited almost three months for the surgery (actually like 25 yrs!) Then she tells me (on the morning of my surgery) that because of my work (hairstylist) that I should have them placed on top of the muscle. Everyone says under but I told her that I trusted her judgement on that. I just think they look weird. The side view picture here is my right breast...the left from the side has alot less fullness.
firstalchemist 11 Feb 2013
Whoa Pixie 1966...I didn't know she placed them Over the muscle. Over the muscle looks good for the first year and sorry to tell you this way over the internet, but after the first year, they will significantly droop. I've seen so many, in person, and after the one year, you can actually see the implant's shape. I went to 15 doctors before deciding on one. Unfortunately, he did a horrid job. I didn't have money to fix them. My attorney called him and he agreed to pay for another doctor to fix them. I definitely would not go back to your doctor. What I see is that she is unable to produce cleavage. I think if your doctor is discouraging you from having another surgery, it is because if she adds more saline, the nipples will be directed in opposite directions. Only very skilled cosmetic surgeons know how to do this type of procedure. The pockets where the lateral incisions were made may need to be re-sutured to position the implants more medially, toward the center. Sounds funny but the only way I could find the right doctor was to actually see lots of breast implants by going to a strip club! I paid the dancers for their time and explained why I was there. I asked the right questions: "how long have you had them?" "Were you ever pregnant?" You are pretty slender so you might want to consider the new silicone-type implants. Without enough breast tissue, saline implants can leave dimples that look like the tick marks on the face of a clock. Please feel free to ask any other questions. I've had so much experience and sent so many people to have their surgeries corrected to Dr. Benjamin Chu, in Honolulu, HI. It's definitely worth the trip.
firstalchemist 11 Feb 2013
P.S. Implants look great for the first two years so if you see someone who only recently had them done, you may not be able to see the mistakes. These become more prominent after the 2-year mark. Also, I have no connection with Dr. Chu nor do I receive any discounts for referring clients. He did a great job in correcting my surgery.
Pixie1966 12 Feb 2013
Thank you so much for sharing with me :) Ive been back to see her twice to tell her I wasnt happy but she just pretty much keeps saying be happy with what you have its better than before. She said that even if we put them under the muscle that bigger implants would be too much weight because there is no muscle holding it on the bottom of the breast. I researched and it says that they can put it entirely under the muscle and that it would support the bottom. Is yours partially or fully under the breast? I am so discouraged and not confrontational but Im getting a little angry. She works in a group...should I ask to see someone else in the group, maybe get their opinion? Or just go somewhere else entirely. Im in Maine...Hawaii is a little far for me ;)
firstalchemist 13 Feb 2013
I would go to a different doctor, outside her group. She isn't helping you so it's a waste of time. I certainly wouldn't trust her to perform a corrective surgery. The best way to predict results is to see actual patients; not the photos in the office. Make sure you talk to the new doctor and ask, "How many corrective surgeries have you performed?" One doctor who was highly recommended turned out to have a lot of complaints a year later. I can't thoroughly describe the way the muscle is for the breast. My muscles don't completely cover the implants and they don't need to. Could you try to Google it at search for "pectoralis major and pectorals minor?" The breast muscles are actually shaped in a V. Part of the implant is under. In any case, I don't agree that there isn't enough muscle to put the implants under. Also, is it possible to work out your chest muscles? I don't know if this makes sense, surgically, but if you worked out those muscles, they would become bigger. Just a random thought. I understand about being non-confrontational. Even if you were up for the conversation, it sounds like your doctor isn't going to help you anymore. My first doctor offered the same deal which was for me to pay for new implants. It wasn't an option for me because I didn't want him to try to fix them.

Ask a Question

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok