What to Do when PS Went Bigger Than I Asked with Breast Implants?

asked 2 years ago by April-13 in Los Angeles
Latest answer by Jeffrey E. Kyllo, MD
Question viewed 673 times
Tags: 090-109 lbs, 5 ft 0 in to 5 ft 3 in, 400-449cc, moderate plus profile, too big

I am 29 and underwent a primary breast augmentation on 4/13/10. The first thing that my PS said to me when I came out from surgery is, "I used 400cc." During preoperative we had discussed using 300-325cc. When I asked him why he had used that size he said that when he sat me up they fit my body better. I started off a 34A/32B (5'3", 105 pounds)and had desired a 32C. Now I am afraid that I will be bigger than I had desired (I'm a yoga instructor, I can't be big). Transaxillary, subglandular, 400cc, memory moderate-plus. What now?

10 answers to What to Do when PS Went Bigger Than I Asked with Breast Implants?

Implant size larger than expected.

Choosing breast implant size is a collaboration between you and your surgeon. Some patients come in with a specific size request. Others are more comfortable with the surgeon recommending a size. I try to work with patients either way to come to an agreement about a size or in some cases, a range of sizes that we will work. If a patient is comfortable with me recommending a certain size, then I will do so. This is done with a combination of asking what the... more

Jeffrey E. Kyllo, MD
Seattle Plastic Surgeon

What to Do when PS Went Bigger Than I Asked with Breast Implants?

What to Do when PS Went Bigger Than I Asked with Breast Implants? Take a look at your chest. You will be, on avearge 10-15% smaller in 6-9 months. If this is bearable, then wait for the swelling to resolve.. If this is unacceptable to you, ask your surgeon to replace them sooner.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast implant size

Now, you have to give it time to heal and settle down. There will be a lot of swelling and waiting 6 months or longer will give you a better idea of how they will look long term.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast implant's too large?

Wait. Give it at least 6 to 12 months. Mention to him/her that you are concerned but willing to wait. If you are still unhappy after that time period, discuss it with your surgeon. Most reputable surgeons will make every effort to see that you are pleased with your result.

Kevin F. Hagan, MD
Nashville Plastic Surgeon

Who CHOSES the Breast Implant

It sounds like major miscommunication. I agree with most of my colleagues that now is NOT the time to contemplate any immediate return to the OR. The best course is to wait for a few months and see if you are happy with the results before kicking up sand and revising your breasts. The following are MY opinions on the topic of WHO CHOOSES the size of the breast implants:- My role is to educate my patients on the plusses and minusses of Breast Augmentation surgery. Every decision has its... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

How to pick breast implant sizes.

Sounds like bad communication. 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 your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of breasts you like. 4) Then your surgeon has to tell you if your chosen look is realistic for your anatomy. The most common mistake is to go too big... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Too early to discuss the isze

I would suggest that you wait at least 3 months. You had enough trust in your doctor that you let him operate on you, now you need to trust his judgment and wait till the swelling is resolved. If you think your breast are too big after the healing period, then you can sit down with your doctor and discuss the replacement.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast implants too big after surgery

As Dr. Naidu said, you need to wait 3-4 months until all swelling is gone and you really know what the result is going to be. At that point you might be just fine and very happy. If they are still to large, you should discuss options with your surgeon and find out about downsizing and why exactly they changed the plan during surgery.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Implant size selection prior to surgery

April, Different plastic surgeons do things differently in terms of sizing. I prefer to choses the implant with you and unless it is a revision case and we don't know what size we are starting with, I actually have patients sign a consent indicating they know what size to anticipate. We put so much time into this selection I can think of 2 patients in my practice who feel as though they are bigger than they wanted to be. You are very early after your surgery so I would recommend giving... more

Michael C. Edwards, MD
Las Vegas Plastic Surgeon

www.medwardsmd.com

Breast implants larger than expected

First, wait a few weeks for your swelling to go down, and then asses your size. Immediately after surgery, your breasts will appear 1/2 cup size larger secondary to swelling. If you feel that your breasts are still too large after that point, speak to your surgeon about your concerns. An exchange could be done to reduce the size of your implants, but this is something you and your surgeon would need to discuss in detail, especially if he felt that the smaller implants... more