Dr Changed Several Very Important Details from Our Discussed Plan During the Actual Surgery. What Can I Do?

I was suppose to get a lollipop, possibly an anchor, lift with 325 implants. One filled to 370 and the other filled to 390 to correct asymmetry. An adjustable pump would be used to help with healing and in choosing the final outcome in size. I made it clear that I desired to have smaller areolas which could be achieved with either lift. The dr changed several key factors during the actual operation. He did a crescent lift without adjustable implants both filled to 390 and areola size not reduced

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5 Doctor Answers | Asked by clkteacher

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Reasons for change

As I am possibly the surgeon involved; I am happy to respond but of course there are confidentiality issues. When a breast lift is combined with an implant sometimes just the volume enhancement of the implant provides significant lift and expansion of the tissues. The result is that frequently less lift is required than anticipated and also more tightening of the lower pole skin. This may negate a lollipop type lift as tightening the lower pole with a lollipop lift can result in a... more

Operative Plan Changed

During surgery, sometimes the operative plan can change. Once the implants are placed under the breasts, most surgeons sit the patient up on the table. In some cases, the implants lift the breast more than anticipated obviating the need for a full anchor or lollipop lift. I would discuss your results with your surgeon.

Details of procedure different than what was discussed

It would be easy to criticize your surgeon but the reality is that in the operating room things might have to have been changed to get the best result. If the results are good then the question is really quite moot. If the results are less than what was expected your surgeon should be able to tell you why and to explain the rationale for what was done. He or she should also tell you to wait at least 6 months before assessing the final result and determining what, if any,... more

Operative Plan

Its very important that you discuss your concerns with your surgeon. Perhaps there was some miscommunication prior to surgery that can be addressed now. Its also possible that your surgeon had a good reason for altering his plans in the OR which he can explain to you. Keep an open mind until you speak with him.

Operative plan

Discussing the surgical plan I think is critical so that the patient understands what needs to be done, but sometimes "audibles" are called in the operating room because of factors that change. A circumareola produces less scars than a vertical but I would have thought he would have discussed this with you prior to surgery?