Surgeon put in implants bigger than I approved - is it reasonable for me to ask him to revise it?

Since the specific size was not determined prior to surgery, and bras are not made to standardized sizing, there is a wide variety in sizes of what is a "D" cup, which you requested. The actual size was not preselected. I would suggest discussing your concerns with your surgeon. You might ask for a smaller implant and a lower profile. If you do change your implants, choose a specific size during your preop so you know exactly what you are getting.

Hi and welcome to our forum!
It is rather vague to ask for a "natural look" as each individual has a different opinion. Your complaint regarding size: 445 cc - 400 cc 45 cc, the volume of a "shot glass". An appropriate implant size is largely determined by your breast width...too narrow, no cleavage,...too wide, exaggerated cleavage and "lateral boob". The extra 45 cc may have been required to completely fill the breast. Remember, your surgeon's goal was to make you happy with the result. Have you discussed this with your surgeon? Without photos, I cannot venture further.
Revision is indeed possible, perhaps at a reduced fee, but not for free as there are considerable expenses incurred on his / her part.
Revisit your plastic surgeon for advice.
Best wishes...

I would discuss the issue face to face with your surgeon. Maybe he had a good reason to use the implant which he used and could explain that to you better. Going smaller is easier than going bigger, so it should not be too much of a problem.

Arthur Shektman, MD