I had breast lift and 525 silicone implants out in 12/17/18. I notice my breasts are saggy and do not have upper fullness. My dr stated I need to go bigger in implant size to get upper fullness but refuses to revise because it is outside of her "standards" and it will look ridiculous. She also refused to make the pocket smaller as I feel my implant move to the sides when I lay down! What do I do? I can't afford more surgeon fees!
August 4, 2019
Answer: What to do if doctor refuses to revise as I can't afford more surgeon fees? I am sorry to hear about your concerns after breast augmentation/lifting surgery. Based on your description and photographs, I think you will benefit from revisionary breast surgery which will likely involve adjustment of breast implant capsules, possibly revision of the breast lifting procedure, and the use of larger breast implants (if necessary to achieve size goals and more upper pole volume). A well planned and executed procedure should serve to improve breast implant positioning, improve overall breast symmetry, and achieve size/fullness goals to a greater degree. This type of revisionary breast procedure is not unusual after initial breast augmentation/lifting surgery and the outcome does not necessarily "look ridiculous". Generally speaking, In cases where an unfavorable outcomes are present it is best for patients to discuss their concerns in a calm/constructive fashion; most plastic surgeons very much want their patients to be pleased and will do everything they can to improve outcomes. On the other hand, an accusatory stance taken by a patient does not end up working out well for anybody involved. For example, I would suggest avoiding using inflammatory terms... Overall, staying emotionally even keel tends to be helpful in these cases.Policy regarding coverage of expenses for revisionary surgery will vary from office to office and probably on a case-by-case basis as well. Costs of revisionary surgery may range from zero, to anesthesia/surgery center fees, to discounted surgeon's fees. I can tell you personally that I am much more likely to waive fees for patients who demonstrate an understanding of the circumstances as opposed to patients who expect "perfection" and approach the complication in an accusatory or faultfinding fashion. In other words, I suggest patients communicate their concerns in a calm and constructive fashion; this form communication tends to be much more effective than confrontational communication. Again, keep in mind, that no plastic surgeon is perfect and that sometimes more than one operation is necessary to achieve an outcome the patient is pleased with ( especially true for the breast augmentation/lifting procedure). Best wishes; hopefully through courteous/respectful communication you and your plastic surgeon will be able to work out a plan to achieve your goals. If not, your only option will be saving up for a revisionary breast procedure and seeking consultation with other well experienced board-certified plastic surgeons.
Helpful 1 person found this helpful
August 4, 2019
Answer: What to do if doctor refuses to revise as I can't afford more surgeon fees? I am sorry to hear about your concerns after breast augmentation/lifting surgery. Based on your description and photographs, I think you will benefit from revisionary breast surgery which will likely involve adjustment of breast implant capsules, possibly revision of the breast lifting procedure, and the use of larger breast implants (if necessary to achieve size goals and more upper pole volume). A well planned and executed procedure should serve to improve breast implant positioning, improve overall breast symmetry, and achieve size/fullness goals to a greater degree. This type of revisionary breast procedure is not unusual after initial breast augmentation/lifting surgery and the outcome does not necessarily "look ridiculous". Generally speaking, In cases where an unfavorable outcomes are present it is best for patients to discuss their concerns in a calm/constructive fashion; most plastic surgeons very much want their patients to be pleased and will do everything they can to improve outcomes. On the other hand, an accusatory stance taken by a patient does not end up working out well for anybody involved. For example, I would suggest avoiding using inflammatory terms... Overall, staying emotionally even keel tends to be helpful in these cases.Policy regarding coverage of expenses for revisionary surgery will vary from office to office and probably on a case-by-case basis as well. Costs of revisionary surgery may range from zero, to anesthesia/surgery center fees, to discounted surgeon's fees. I can tell you personally that I am much more likely to waive fees for patients who demonstrate an understanding of the circumstances as opposed to patients who expect "perfection" and approach the complication in an accusatory or faultfinding fashion. In other words, I suggest patients communicate their concerns in a calm and constructive fashion; this form communication tends to be much more effective than confrontational communication. Again, keep in mind, that no plastic surgeon is perfect and that sometimes more than one operation is necessary to achieve an outcome the patient is pleased with ( especially true for the breast augmentation/lifting procedure). Best wishes; hopefully through courteous/respectful communication you and your plastic surgeon will be able to work out a plan to achieve your goals. If not, your only option will be saving up for a revisionary breast procedure and seeking consultation with other well experienced board-certified plastic surgeons.
Helpful 1 person found this helpful
Answer: Revision Hi, I think you have a reasonable result albeit you have a degree of asymmetry and your right breast looks like it could benefit from tightening (below). You already have very large implants and going larger makes no sense as it will just cause trouble for you in the long run. Most surgeons have a policy of not changing implant size which is why we involve our patients in implant selection size before hand. You could try asking your surgeon if they would be willing to improve the asymmetry. You breasts are naturally going to fall to the sides due to the weight of the implants. It may be worth seeking an opinion from someone else to see what they think. Good luck.
Helpful 1 person found this helpful
Answer: Revision Hi, I think you have a reasonable result albeit you have a degree of asymmetry and your right breast looks like it could benefit from tightening (below). You already have very large implants and going larger makes no sense as it will just cause trouble for you in the long run. Most surgeons have a policy of not changing implant size which is why we involve our patients in implant selection size before hand. You could try asking your surgeon if they would be willing to improve the asymmetry. You breasts are naturally going to fall to the sides due to the weight of the implants. It may be worth seeking an opinion from someone else to see what they think. Good luck.
Helpful 1 person found this helpful