Breast Implants: Q&A

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Doctors help please - Botched boob job

I'm 5'4' 115# 37yo slightly concave chest given 500cc gummys subpectoral and I came out smaller than I was going in. My ps said he didn't have large enough implants during the procedure. I have a small frame with a natural D cup and went in looking to keep them perky and much to my dismay, came out about a size smaller with lack skin and stretch marks above my breasts that wasn't there before. To top this off, the cleavage area is giving an offodor and it is not coming from the infra-mammary incisions. Has anyone ever heard of this? Photos I've seen show women going from a B to a D using a 350cc or so and come out looking bigger than me. How is this possible? Did my ps cut too deep into my chest? I have been given the option for a complimentary redo using 700cc or and my ps recommended to wait for the new contoured 410's from allergan to be FDA approved. But the contoured will require further cutting into my upper chest which I really don't like the idea of. Is it worth it to wait for 410 FDA approval? The before and after shots from dr teitelbaum clinical trials are not that compelling. Now all i want is get my full D back but I am not sure which implant will best achieve that - high profile/mod profile, contoured/round etc. while keeping the perk. Please help...

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age 35-44 odor stretch marks 500-549cc 110-129 lbs gummy bear implants inframammary subpectoral

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15 Doctor Answers | Asked by Twist of fate

Doctor Answers (15)
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Breast Augmentation and Reduction in Breast Size

The breast augmentation should have increased your size by 2 cups. If you post pictures, I may be able to give you an explanation.

Smaller after an augmentation?

I'm sorry to hear of your anguish and disappointment. Without photos, no one can really address your concerns. Regardless, the part that doesn't make any sense at all is it is physically impossible to have a smaller breast volume following an augmentation. If you are still communicating with your surgeon and have confidence in him, its suggested you bring your concerns to his attention and give him a chance to address your concerns. If not, seek a second opinion and... more

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Unsatisfactory results in breast augmentation

Obviously you are not satisfied with the results of your breasr surgery. Without reviewing your before and after photograhs,understanding your expectations, considering your anatomical restrictions and most importantly knowing the details of your communication with your plasic surgeon, it is hard to come up with a helpful recommendation to improve the results of your breast surgery.

Unsatisfactory Breast Augmentation Result

For any comments to be helpful, it would be critical for you to post before and after photographs. How it is possible to be smaller after having received 500cc implants is hard to fathom. My suspicion is that the breast tissue is in a lower position than the implants and you were looking to fill that out...which is perhaps the origin of looking for shaped implants now that are larger than 500cc. However, I would make a constructive comment when you post before and after photographs. I would... more

"Botched" surgery?--Maybe. Botched description . . . well, let's see.

Wow! Using that word "botched" is such a pot-stirrer! (I just wanted you to see how it feels when you're on the receiving end of such an inflammatory word; I really wasn't trying to be unkind or rude.) Though your description has some glaring inaccuracies/exaggerations/lack of surgical knowlege, as caring plastic surgeons we would never describe your obvious dissatisfaction as "your fault," or you as "ignorant," or your problems (even if ones of perception rather than... more

Frustration with Breast Augmentation Result

It is difficult to understand how adding volume to your breasts would leave you smaller than your pre-operative appearance. Decreasing the size/volume of your implants will likely leave you more frustrated with your result regardless of what shape/firmness your implants are. As others have mentioned, photos will help with further recommendations and ongoing conversations with your PS will be invaluable. Best to you.

Post operative dissatisfaction with breast augmentation.

I agree with the other physicians in that it is difficult to give you advice without an exam or at least, photos. If you are willing, please post photos so we can be more helpful in your concerns. I also think being smaller after placing 500 cc implants is highly unusual. For all of our education and to help you, please consider posting before and after photos. I would also encourage you to keep in communication with your surgeon. more

Disappointment after breast augmentation

Since there are no photos, it's difficult to comment on your results. It's also unclear if you had additional procedures such as breast lift or reduction at the same time. Chest wall deformity definitely can affect how your breasts look after implant since the implant is sitting right in front of the chest wall. As far as implant selection is concerned, only a actual in-person consultation will help decide which type of implant is most suited for you. Best Wishes,

Breast implant issues

Without an exam and seeing before photos as well, there really is no way to comment on your results. It would be almost impossible not to see a larger breast with 500 cc implants unless tissue was removed?

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Problems with a breast augmentation result

It is certainly difficult to explain your situation. If 500 cc implants were placed there is no physical way that you could actually be smaller. If you are early in teh post operative period it may be that the muscle is pushing the implant laterally and this combined with your chest concavity may be part of the problem. A photograph of your before and after results may be helpful.

Unhappy with breast surgery results- what to do?

It is difficult to make any specific comments about your circumstance without the benefit of either examine you or seeing before and after photos. First off, I'm sorry you are unhappy with you results. We, as plastic surgeons, strive to achieve the best results we can and the patient's satisfaction is very important. You also don't mention where you are in your recovery process. Your breasts will go through changes as your tissues relax. It is difficult to imagine how you could be smaller... more

Second opinion

I would recommend a second opinion.I do not understand how given your size and weight and 500cc implants you are smaller than you were before surgery.

Poor result after breast augmentation

Hard to provide help without pictures. Broadly: if you have a caved-in chest (pectus excavatum) you may need more than just implants for proper contour and shape. In my experience better results can be achieved with custom implants that shape the chest wall underneath the breast implants. In many patients with enough breast tissue implants may not be needed. (Is the smell from the cleavage due to the medial breasts being too close together? This... more

500 cc breast implants and size of breasts smaller?

We all would benefit from some front and side photos of your result. (Before and After) You have many complaints and they are complicated enough that I feel the best advice is for you to obtain very soon 2 or 3 second opinions in you local area. Words cannot define your problem enough to allow reliable useful advice . Photos please. My best, Dr C

Unhappy after Breast Augmentation Surgery?

Thank you for the question. One of the important things that prospective breast augmentation patients should be aware of is that a specific breast implant profile will not necessarily translate to a specific cup size after breast augmentation surgery. There are many variables involved including the amount of native breast tissue present and the shape of the chest wall for the particular patient involved. In your case, it sounds like you have a chest wall... more