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Can I Choose 2 Implant Choices Pre-Op and Let Surgeon Decide During Surgery?

asked 6 months ago by Missconfused in Washington
Latest answer by Steven Wallach, MD
Question viewed 166 times
Tags: choices, multiple

At the time of surgery could I purchase 2 implant choices and have the doctor choose the proper fit during surgery procedure?

14 answers to Can I Choose 2 Implant Choices Pre-Op and Let Surgeon Decide During Surgery?

+1

Implant choices

The way I handle things in my office is that we decide on a volume and shape of implant,, but I always have available one size above and one size below just in case I do not feel the size we choose was the best for her.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Choosing implants for breast augmentation

Choosing implants: some doctors use sizers during surgery show photos of what you would like some doctors will have more than one size available this is not an exact science you can try sizers in a bra preop
Jed H. Horowitz, MD

Orange County Plastic Surgeon
+1

Can I purchase 2 implant sizes and have the surgeon decide during surgery?

I do not see why you have to purchase 2 different implant sizes. I keep a consignment (as do many plastic surgeons) of implants in all the commonly used sizes and all three profiles or shapes available in our surgery center. Even if an unusually small or very very large implant were anticipated, we can order these, and we only pay for the final implants that we open...the rest are returned at no charge. I have never heard of making a patient pay for more than one pair of implants so... more
Robert M. Grenley, MD

Seattle Plastic Surgeon
+1

Implant sizing

When planning your bresat augmentation communication with your board certified surgeon is critical. Photos demonstrating the look you are hoping to achieve will guide the implant choice. I personally will bring implant sizers to the operating room and see which of the choices best creates the look you desire. Implants are available in different sizes and projections and are decided upon in the operating room based on the preoperative discussion. You only pay for the implants you use. You... more
Robert W. Kessler, MD

Orange County Plastic Surgeon

www.drrobkessler.com

+1

If your plastic surgeon really understands the look you want, it is his job to pick implants.

How to pick breast implant sizes: Hi. I wrote this article a while back, and I hope you find it helpful. I do not understand why women think it is their responsibility to select breast implants. It really requires training and experience. 1) This is the most common type of question on RealSelf. 2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical. 3) Make sure... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Breast augmentation, Implants

You should never go to surgery with just one implant size available. It doesn't matter how good your surgeon is, there will be subtle things about the way one breast implant fits IN you that make it look better or worse than another one that simply cannot be discovered until it is truly in you. That is why sizers are available for intraoperative use. And you would only pay for two implants, not four. Your surgeon will have a large selection of implants available in his or her office... more
Ronald V. DeMars, MD

Portland Plastic Surgeon
+1

Purchase extra breast implants?

Any surgeon should have a full range of breast implants available during your breast augmentation, and should be able to select the correct one for the look you have determined to be best for you. Purchasing 'extra' implants so he can choose is a big red flag. How about choosing another practice. Best of luck, peterejohnsonmd.com
Peter E. Johnson, MD

Chicago Plastic Surgeon

www.peterejohnsonmd.com

+1

Multiple implants

This is an excellent idea. On occasion, we just aren't sure of how easily the pocket can be dissected. This happens frequently with revision surgery when the patient cannot obtain medical records and we have to guess the size of the implants. Multiples can be ordered from the manufacturer and those not used returned for a credit. I do not charge the patient for this. I use sizers intraoperatively so the unopened implants can be shipped back.
Robert L. Kraft, MD

New York Plastic Surgeon
+1

Have multiple sizes available

Absolutely. I always have multiple sizes available just in case. I advise my patients that we have a size that we are shooting for and then have one size up and down available. I also use sizers just to make sure and to avoid opening an implant unnecessarily.
Steven Schuster, MD

Boca Raton Plastic Surgeon

www.schusterplasticsurgery.com

+1

Implant size

Yes; and this is what I often have patients do. This allows the surgeon to reach the most aesthetic result. Donald R. Nunn MD Atlanta Plastic Surgeon.
Donald Nunn, MD, DDS

Atlanta Plastic Surgeon
+1

Selecting Breast Implant Size

If a natural appearance is the goal, then the way to get the size right is to 'try out' different implant volumes and profiles in the operating room. Once the implant pockets have been created, sterile sizers can be placed in the implant pockets, and the upper half of the O.R. table raised so that the resulting breast appearance can be assessed with the patient in an upright 'sitting' position (chest fully upright) while under anesthesia. These sizers are available not only... more
Michael Law, MD

Raleigh-Durham Plastic Surgeon

michaellawmd.com

+1

Have more that one implant size available at surgery

Thank you for your question. I actually do exactly what you have requested with most of my breast augmentation surgeries. During the surgery, I create the implant pocket and then put in a sizer which is inflated to various sizes. This helps me to select the implant size that I feel is most appropriate for my patient based on our pre-operative discussions. I suspect that your surgeon would be amenable to your request.
James McMahan, MD

Columbus Plastic Surgeon
+1

Breast Implant Sizes

Thank you for your question. Each office is different and how each surgeon performs surgery is different. Personally, I have all sizes of implants available in the operating room to determine which size will achieve the patient's goal. I use temporary sizers and compare the patients results to their "goal" photos and make adjustments as necessary to achieve the best size and symmetry for the patient. I think what you are asking is very reasonable. Talk... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Yes, most plastic surgeons will have a couple of implant choices in the operating room

Hello, Yes, this is not uncommon. Your plastic surgeon will then decide based on the diameter of your breast pocket after it has been created or your breast tissue characteristics. The implant choices should be relatively close in volume and you should have liked both implant sizes when you tried them on in the office. All the best, Dr Repta
Remus Repta, MD

Phoenix Plastic Surgeon

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