Breast Augmentation: Q&A

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My PS Gave Me Much Bigger Implants Than I Requested! They Are HUGE for Me!

Sept 30,10 I had breast augmentation, I was 34AA(loose skin), 5"4 110, 39yrs. I have two children 19 and 20yrs old. I requested from my PS a small size,conservative, did not want anything big. My PS indicated he needed to fill in the sac. He gave me 450cc silicone under the muscle? I want a small size as I initially requested. Would I sag now more if I go to 300 or 350cc? Will I need a lift? I am very UNHAPPY!! I dont understand his reason for going that big.

12 Doctor Answers | Asked by Montebello in Montebello, CA
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Bigger Implants Than Requested

Breast implant size should be determined BEFORE surgery so that this does not happen. It is not difficult to do this. A tight sports bra with an implant sizer in it, with a tight t-shirt over that is the easiest and obvious way. It needs to be tight to give a body suit effect. True, it will look a little larger this way than it will after surgery, because the implant is out in front of the breast and not against your chest. Just factor this in. Go one... more
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Unless you asked for a specific size implant, your surgeon used good judgement!

I am so sorry you are unhappy with your results; I would bet your surgeon is equally dismayed, since of course he used all his experience and best judgement to try to achieve your goals! Let's examine your situation in detail (at least as much as your included information allows): you are slim and petite, and after two children had smaller than A-cup breasts and loose skin. A lift alone would have yielded scars and an ounce less volume (skin removal) than your present quite small breast... more
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Breast implant size?

I would suggest continued calm and non-accusatory discussion with your plastic surgeon expressing your concerns. You may find that there is a logical explanation for the size of implants that were selected. Much of the final “look” achieved after breast augmentation surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more... more

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Will downsizing implants leave me with saggy breasts

This is a relatively short time to exchange implants and it is likely that exchange at this time will not have significantly changed your breasts or have caused more sgging than prior to surgery. In other words, if you downsize and you need a lift, you probably would have needed a lift in the first place. The larger implant was proabably chosen to avoid the need for a lfit
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Aug size too big

This is always a difficult question.How big?I didn't see you before but the question is whether or not a simple breast lift with a smaller implant would be the way to go.I would talk to your surgeon and see if he will consider putting smaller ones in to suit your desires.
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Decreasing implant size may not need a lift

Miscommunication often leads to an unhappy patient and a frustrated physician. Even if the exact implant size is not known, a range should be discussed with the patient prior to surgery. In your situation, decreasing the implant size may or may not require a lift. It is impossible to tell without an examination. Many times the breast skin contracts sufficiently and no removal of skin is necessary. However, if the nipple is not in the proper position, decreasing the size of the implant... more
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Miscommunication with plastic surgeon on breast implant size

In cases where there is loss of volume in the breast following child birth and the desire is to only increase the overall size (even just a bit), it is not unusual to require some sort of breast lift. In women who do not want the lift incisions, then often a larger prosthesis is required to make up for the lost volume. It sounds like there was a mis-communication between you and your plastic surgeon and that the situation can be readily corrected with replacement with a smaller prosthesis... more
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My surgeon put in big implants! Help!

Before you go into the operating room, you have the right to know what is going to happen there.  You have the right to understand everything clearly, not just the risks and complications.  You have the right to know what the expected results of your operation are.  You have the right to know what the treatment alternatives are, and you have the right to know what the required followup care will be required.   These are all parts of the process of informed consent.... more
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Implants too big...Now what?

  Many women do not want to consider a lift due to the scarring. You may be an excellent candidate for a Peri-areolar lift. The Peri-areolar lift is a great technique for patients who require a small lift. The incision is made around the areola and a dough nut-shaped section of skin is excised. The skin is sutured with a purse string technique and the incision is hidden in the borderline of the areola, so you do not have much scarring, in fact it usually fades and will be... more
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Find out the reason why a larger implant than expected was used

Dear Montebello, From your question it seems as though you had some breast ptosis (drooping), or else there would not be the mention of needing 'to fill the sac'.  Sometimes using a larger implant to compensate for ptosis is acceptable, but obviously the cup size increases.  Without seeing you in person, it is impossible to say what you might need. If you indeed had ptosis, but wanted a conservative size, simultaneous breast lift would have been a possible... more
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Comments (1)

Gosh, I'm jealous, I'm wish this was my problem:S LOL

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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.

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