Not Happy with my Breast Augmentation, Will This Be Included in my Aftercare?

6 weeks ago I had a breast augmentation, and i am not happy with the resutls. My surgeon didnt listen to what i wanted, he decided to go 5cc higher then what we dicussed so that he could use a smaller profile, and didnt tell me untill the day of sugery. My breast now look completely natural which isnt what i wanted. My after care says revision surgery is free of charge if the surgeon isnt happy, but doesnt mention that it is the same if the patient isnt happy.

Doctor Answers (10)

Not happy with my breast augmentation, will this be included in my aftercare?

+1
Thank you for your question. Revisions and further surgery for aesthetic procedures varies amongst surgeons and your preoperative discussion about expectations, results, and complications. Depending on your results and expectations, it would need to be a discussion that you have in terms of deformities and results.

You should discuss your concerns with your surgeon and hopefully come to a conclusion. I would not be surprised if facility and anesthesia costs are your responsibility along with a possible surgical fee to correct, however, the last one may be waived pending your previous discussions and examination. Hope that this helps and best wishes!


Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Unahppy after augmentation

+1

The discussion regarding your goals is something that shoudl have been clear during consultation and I make a very strong effort to figure out during my consultations.  5 cc's is not noticeable.  As for revisions, every office policy is different.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Breast Augmentation - Not Happy with my Breast Augmentation

+1

There are two issues here:  the results, and the costs involved in a revisional procedure.

In my opinion, your results are nice.  I don't know what you looked like before, or what you wanted, but I think that you can generally be comfortable with how you look at this time.  5 cc is completely inconsequential.  I would argue that even 50 cc is rarely noticeable, except in smaller patients and where there's notable asymmetry.  5 cc certainly is not.

The surgeon's policy regarding revisions is a different and more complicated issue.  Each surgeon has his or her own policy regarding revisions, including what needs to be done and what the costs are.  Assuming adequate healing, many surgeons I know charge reduced fees (the implants, the anesthesia, the surgical facility costs are fixed and relatively high for this procedure) with no or a small surgical fee.  Charging a full fee is unusual, as is doing everything for free; that is simply not tenable in most cases.  Ideally, this issues are addressed prior to undergoing any surgery, but if they are not then I generally advise patients to try to work this out in a friendly manner with their own surgeon as this is usually the most expeditious way to get the result you want.  Whether or not you can do that, however, is where you need to start - I'm not sure, based on your photos, what I would even advise you to have done surgically.

But that's how I would advise that you approach this - first, figure out what can or should be done and see if it's even feasible and then address the specifics of accomplishing that, including fees.

I hope that this helps, and good luck,

Dr. E

Alan M. Engler, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 155 reviews

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Unhappy after augmentationj

+1

1) your breasts look great;

2) 5cc is of -0- consequence and makes absolutely difference in your results

3) wait 6 months and then assess your results.  You can always go bigger (my approach is I do not charge for revisions but patients have to buy new implants and pay any surgicenter costs).

Daniel Greenwald, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 13 reviews

Breast augmentation results

+1

Revision of surgery is covered by some surgeons; we want to have results that we are poroud of and that the patient loves.

Your situation is a difficult one for us because you have a beautiful result.  Unfortunately, it is not the result you wanted.  I would suggest that you talk to your surgeon to see what compromise can be worked out.

Michael S. Hopkins, MD
Albuquerque Plastic Surgeon
5.0 out of 5 stars 44 reviews

Unhappy with natural appearance

+1
  • Communication with your surgeon with respect to a breast augmentation is of great importance since there are a number of choices to be made.  The appearance after surgery can be difficult to predict and difficult to demonstrate to the patient prior to the surgery.  You will have to be very specific about what you do not like and about how you would like to look after surgery and that is especially true if you are going to have a secondary procedure.
  • Judging by your photographs I think you have had a very nice result.  I would not get hung up on the 5cc volume difference because that is not an amount that is noticeable under any circumstances.
  • Revision surgery details are ideally outlined prior to the original procedure.  Costs will vary from doctor to doctor. I would make sure you are truly unhappy and that you know and can communicate exactly what you want before having a second operation.

Thank you for your question and for the photos.  Best of luck.

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon
4.5 out of 5 stars 24 reviews

Ba results

+1

you would have to be much more precise about what you dont like. you have a beautiful result.  5cc is a teaspoon and is spit in the ocean.  relax  show them to your friends . you will be building your surgeons practice.

Jonathan Saunders, MD
Newark Plastic Surgeon
5.0 out of 5 stars 35 reviews

Breast Implants

+1

We don't have a full set of preop pictures to compare, but you appear to have a pleasing result.  5cc is a teaspoon and would not be perceptable. Keep communicating with your surgeon, but I would be feeling real, real good about your result.  Many patients have noticable differences postop where one breast is higher, or bigger  and you turned out with great symmetry based on your photo.  All the best, "Dr. Joe" Gryskiewicz

Joe Gryskiewicz, MD, FACS
Minneapolis Plastic Surgeon
5.0 out of 5 stars 56 reviews

Aftercare for Breast Augmentation

+1

Based on your pictures, the result looks great. A 5cc difference is not noticeable. You may discuss revision with your surgeon but it is hard to figure out what can be made better. 

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
5.0 out of 5 stars 20 reviews

Breast Augmentation and Further Surgery Charges?

+1

Thank you for the question and pictures.

I'm sorry to hear about your dissatisfaction after breast augmentation surgery.

Although you haven't specifically asked for an evaluation of the results,  I will volunteer that you have achieved a very nice result after surgery. I would respectfully disagree with you in that your breasts do not look “completely natural”.

Of course, as the patient is your opinion that is most important; I would suggest a calm,  nonaccusatory conversation with your surgeon.

Unfortunately, no one besides your surgeon will be able to answer question regarding his policy regarding revisionary surgery.  

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

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.