I Am Not Happy with my 450cc Implants. I Shouldve Gone for 550cc or 575cc at Least? (photo)

Thank you for your photographs.  Your surgeon has done a fine job with your augmentation.  Your implants in my opinion appear large enough for your frame.  Implants that are too large only lead to problems down the road.

Dr. ES

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!

Hello,

Your photos indicate a normal, if not oversized breast augmentation result.  There appears to be no issue with shape or symmetry.  Your implants have over-inflated your breast tissue envelopes to their capacity; where is your doctor going to put more implant?  It is impossible to say if 100 to 150 cc more will make you happy. 

Breast augmentation has its limitations and drawbacks.  There are complications that can occur early or late after your surgery, and these will inevitably lead to a reoperation.  Choosing larger than appropriate implants is perhaps the major reason for early reoperation, and has a big influence on late term operations as well.  Your implants are big enough, many would argue too big for your anatomy as they are now, and you are asking for complications or problems if you try for bigger. 

If you are not happy with the size, you should wait at least six months for the majority of the inflammation to resolve.  In my practice, I offer to do a remove/replace under local anesthesia (do not have to be put to sleep).  I numb the site (fold) and remove the old implant and replace the new.  You will feel tugging but should do fine.  Therefore, you would be responsible for the facility fee and implants alone if the remove/replace is done within a year of the first surgery.  (I do have my own surgical facility).  This very rarely occurs in my practice.  We take much time and many steps to ensure the patient is happy with the size prior to the breast augmentation.  WIth that in mind, for you to increase size by 100 or 150 cc, you may notice minimal enlargement.  That may be equivolent to 1/2 cup size.  I am not sure that will be worth it to you.  The pictures look as if you are in the D or upper D range.

Thank you!!

 

You look very good. I would suggest giving your self at least 6 months to let the swelling go down, the skin to relax and for you to truly get use to these new breasts. I think you need to be really honest with yourself about being 100% happy. Most women would kill for the results you have and it maybe helpful for you to really look at way these large implants and very good result has not made you 100% happy. If after the waiting time is over and you are still  disapointed then, yes large implants could be placed. Remember the enemy of good is better. 

  While you have a very nice result and the implants look large on your frame, you could upsize in the future.  There may be a discount for you, but I would caution that the implant should fit your chest wall.  If you increase 150 cc or so, this may make the implant appear too far lateral.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

The key to patient satisfaction is guided expectations.  Open communication is required to get the result that you want.  It is more or less a game of tell me what you are thinking.  Anything that you can do to improve communication with your surgeon improves your chances of getting the result you desire.  Your early result certainly looks good.  I give it some time.  If you are not happy at the 6 month point you may consider changing out to a larger implant.  A 100 cc change is only about 1/2 of a cup size difference.  

Thanks for posting your question and photos.  You have an excellent early result and I'm sorry you felt sizing with implants in your bra doesn't work but ALL of my patients feel that method gives them a very accurate idea of what they will be.  The excess volume will not improve your results... only make you more top heavy, unless that is what you really desire.  Heal and then reassess. 

The pictures show a great result. Keep in mind that another surgery means more risk. While an increase of 100 to 150 cc is noticeably, you may find yourself regretting a larger implant  if it causes skin stretching in the future.

Hi

The implants certainly look big enough for your frame and I doubt going any bigger in this initial procedure would have been a good idea.  

Your surgeon may perform the revision surgery at no cost, but you still have to pay for new implants, anaesthetic fees and theatre costs.

Good luck.