Doctor Chose 240cc Implants and I Am Very Unhappy?

Question

I did not choose the implant size. Every time I tried to discuss it with the doctor, he said he will take a note of what I wanted but he will decide what would be proportional to my body. I told him I wanted a C cup (was an A before) and that I was playing around with the 350 implants. How soon can I have revision? Why would a doctor decide on such small implants? I am not a big girl, but I am not tiny either. I am 5'6" and 130 pounds. I think I could've easily gotten away with at least 300...

Daniel A. Medalie, MD · Answer

HI,

	 

	That size does seem very small for a women of your height, weight and stated goals. You probably would have been happier with implants in the 325-350 cc range.You should go back to your surgeon and explain your dissatisfaction and see whether he will change you to a larger size. I would wait at least 6 weeks from the first surgery to allow the scar to mature and the swelling to subside.

	All my best,

	Daniel A. Medalie, MD

Laurence Weider, MD · Answer

During the consultation for breast augmentation, it is extremely important that the patient and the surgeon are "on the same wavelength" regarding the patients goals.  While proper implant sizing means that the chosen implant should be within a range of sizes in order to minimize the risk of complications, a 240 cc implant seems like it would be too small to get you from an A cup to a C cup.  I would think that 3 months would be an adequate amount of time to wait prior to replacing the implants.  Make sure you know exactly what size your surgeon is going to place this time, or consider using a different surgeon.

Kenneth Hughes, MD · Answer

In general, 240 cc implants are small.  The average implant placed in the US is 350 cc.  Almost any woman's chest wall can accomodate 300 cc if the right profile is selected.   You can get a revision at 3 months or so.  Please find the board certified plastic surgeon with ELITE CREDENTIALS who performs hundreds of breast augmentations a year.

Matthew Schulman, MD · Answer

The part of your question that concerns me the most is the fact that you claim your surgeon was uninterested in your desires about size.  It is really important that the surgeon guides the decision but listens to what the patient wants.  I will allow my patients to select the size, as long as I do not feel that the size they are picking places them at risk for complications. I suggest you find another board certified plastic surgeon for your revision.

Stewart Wang, MD, FACS · Answer

I am sorry to hear about your disappointment regarding your result. Selecting the right implant is one of the most important issues for breast augmentation. It a decision between the patient and the surgeon. Your surgeon made the decision that you did not agree or did you agree to allow your surgeon to make final decision? Do he or she discuss the reason for using a particular size/shape? Perhaps what's chosen is a better fit? Is there an anatomical reason that make it unsuitable for you to get bigger implant? These are some issues I think that's worth discussing with your surgeon, ideally before, not after the surgery.  I can't speak for other practices but typically in my practice, the decision is made jointly and there has to be an agreement between the patient and myself before the surgery ever take place. Revision is typically made after 6 months from the original surgery. 

	Best Wishes,

	Stewart Wang, MD FACS, Wang Plastic Surgery

Doctor Chose 240cc Implants and I Am Very Unhappy?

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Doctor Chose 240cc Implants and I Am Very Unhappy?

Answers (14)

Answer: Breast Implants too small

Answer: Breast Implants too small

Answer: Implants are too small.

Answer: Implants are too small.

Answer: Implants Too Small 240 cc Implants

Answer: Implants Too Small 240 cc Implants

Recommended reading

Everything you need to know about Breast Implants

Answer: Unhappy with implant size

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Answer: Unhappy with breast implant size after augmentation

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