Breast Implants: Q&A

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What Are my Options to Emphasize Breast Implants?

Despite taking numerous pictures for reference, and stressing to my surgeon the results I wanted, I recieved smaller Breast implants and the opposite look than was desired. I wanted 500cc high profile silicone gel implants that would sit high on my chest and look extremely fake. I recieved 425cc and 450cc implants, that look so natural no one can tell that I had implants, and they sit incredibly low on my chest and have no upper pole fullness. I am 5'9" tall, 23 years old, and have a medium/athletic build. What are my options?

Read my review "Undesired Results, Completely Opposite of What I Wanted - Chico"

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13 Doctor Answers | Asked by blondie22_4_us in Chico, Ca

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You get the message: Communication!

Here's some helpful hints I hope will help on your next consult: Write your questions in advance Ask to see before and after pictures of his own patients and point to a result you like Ask him to look at his own pictures and show you what he thinks you will look like I always agree on a size beforehand with the patient and we both sign off on it prior to surgery. It protects both of us. As to your particular case, I think you need a lift plus an augmentation. A Benelli lift or... more

At this point, a breast lift may be your best option

Hi, Thank you for your question! Sometimes there are limits to enhancing your body and what is safe for a plastic surgeon to do. You should have another, very open discussion with your surgeon. There may have been some safety reasons as to why he did not proceed with what you wanted. It is hard to say without examing you, but it may be possible that he gave you what your body type and skin type could handle. Getting bigger implants could give you the look you want and satisfy you for now,... more

Based on your photos, a revision procedure with a lift is your best bet

If are going for that larger, fake look, I think a mastopexy (breast lift) should be considered. While it involves more surgery and more incisions, it is probably your best bet at getting the upper pole fullness and a more youthful, perky shape that you were aiming for.

I see surgery as the option.

You may need a pocket revision to raise the implant up. Conversely, you may need larger implants. Larger implants tend to have a larger diameter, and this will lead to more upper pole fullness. Sorry you didn't get what you wanted. Communication with your surgeon is critical, and it doesn't seem like he understands your wants. Try again, and be firm. sek

Find a surgeon who you feel comfortable communicating with

It is hard to tell where your communication breakdown occurred with your surgeon. Usually, the implants are agreed upon prior to surgery. It is also important to remember that every person's anatomy is different. Your skin envelope may not have been large enough to accommodate larger implants. Good luck.

Communication is the key to results you expect

With breast augmentation it can be very difficult to describe the result you are expecting or what will be right for you. When it comes to a particular request, such as a very large implant, or an augmentation that is considered "fake" by some standards there are some surgeons who will just not go there or are very reluctant to produce a result which is not to their aesthetic sense. It seems clear that you were communicating with your surgeon however he was not receiving the... more

I checked your pictures

Thanks for the link to your pictures. Obviously there was a breakdoen in communication with your surgeon. You are right, the result is very natural. Unfortunately because of the drooping of your breasts and the positioning of your breasts on your chest, if the implants were put high on the chest they would not be where the breasts are. Besides the external stuff like a push up bra, you would need a breast lift in order to put the implants and the breasts where you want them. Otherwise the... more

Larger breast implants

Your options are all the other techniques that women use to emphasize their breast:: special bras, bra inserts, etc However, this is not without its consequences. My guess is that you have a lax breast envelope and your implants have settled to the bottom of your breasts. If your persistently displace the breast tissue and implant upwards, over time the capsule may contract holding your implant in a higher position. When you remove your bra, your breast will fall off of the implant. This... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Have an open conversation with your surgeon

Hi, as the other surgeons in this forum have suggested, having another very open conversation with your surgeon is the best place to start. There may be a very good reason for why you did not get the result you had anticipated. In some cases there are limitations to what your tissue can accomodate in terms of implant size. Perhaps the surgeon found during surgery that you needed a lift in addition, but was hesitant to proceed without speaking to you first. In the interim, there are... more

Revisit a consultation with your surgeon

Generally, if you trusted your surgeon and he did a good job but you just need a larger implant, you might want to stay with him/her since they are more familiar with what took place at your original surgery. Ask if he feels comfortable with the surgery required to produce the look you want. Safety, especially long-term safety, make some surgeons reluctant to do anything the patients want. While your height might accommodate a large breasted-look, perhaps he felt your tissues could not. Over... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Change surgeons

Sounds like you either need a push up bra or you need to have a revision and have larger implants placed. There seems to have been a disconnect between you and your surgeon and if you do want high fake breasts, get larger implants implanted -- but if the ones you have now are natural you should probably go up at least 150 to 200 ccs.

You may have needed a lift

If you have implants that sit lower on your chest after 450/425cc augmentation, your tissues may have been loose enough that a lift would have helped to keep your breasts a little higher and perkier on your chest. As it is now it seems like your best bet is a very supportive underwire bra to lift your breasts. As you know the natural look of a woman's breast is for them to sit without upper breast fullness out of a bra. You may decide at some point in the future to have a lift but I would... more

Why would you want "fake" looking breasts?

I'm not sure why you would want fake looking breasts. Breast augmentation is about creating beauty and proportion. Next you have stated two contradictory statements. You state that you wanted high profile implants yet you want upper pole fullness. Sorry but you can't get both. High profile implants are great when you already have upper pole fullness. To fill the upper pole you would need medium or low profile that have a larger base diameter. Finally, the implants sit in the pocket... more