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...

Doctor Answers 15

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.

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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 be prepared to show him/her your before photos at your consultation.  It may also benefit you to better understand where you and your surgeon diverged on your expectations.

Curtis Wong, MD
Redding Plastic Surgeon
5.0 out of 5 stars 20 reviews

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.   

Fereydoon S. Mahjouri, MD
Minneapolis Plastic Surgeon
5.0 out of 5 stars 14 reviews

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 avoid the use of the term 'botched', that is an inflammatory comment and does really induce other plastic surgeons to provide helpful commentary. You may not have gotten the result you want but that in no way implies that the surgery was done improperly. Despite the best experienced from any plastic surgeon, the selection of breast implants is not an exact science and the result is highly influenced by the patient's presurgical breast volume and shape.

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.

Al Cohn, MD
Birmingham Plastic Surgeon
4.5 out of 5 stars 12 reviews

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.




Brian J. Lee, MD
Fort Wayne Plastic Surgeon
5.0 out of 5 stars 10 reviews

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,

Stewart Wang, MD, FACS
Los Angeles Plastic Surgeon
4.5 out of 5 stars 25 reviews

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
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

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.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 12 reviews

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 than you were after 500cc implants (above or below the muscle). I would suggest you continue to follow-up with your plastic surgeon so that he/she can guide you to a result you are happy with. I hope this helps.

Dr. Edwards

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.