Breast Implants bigger than I wanted, what can I do to correct?

My advice to you would be to wait at least 4-5 months as you still have post operative swelling and your breasts will continue to settle.  After that point in time, if you still desire to be smaller, you can change the profile of your implant or have a smaller implant placed.  In my practice, I do not charge patients for my time to re-do their surgery for one post op if the wish to change their size.  They are only charged for supplies, OR and Anesthesia time.Best of luck,

At 7 weeks you may still be experiencing some swelling so try to be patient and give it about 6 months before you make any decisions.  Your implants should settle over the next few weeks as well so the shape of your breasts should change over the next few months too & you may not feel as full up on top.  Follow up at around 6 months with your surgeon and if at that time you are still feeling too large, talk to your surgeon about downsizing your implants and get your options.  Good luck! ac

While most breast augmentation results are realized at 6wks, larger augmentations may appear and feel larger for 3- 5 months. The newer gel implants can feel larger and tighter for a longer period of time. We usually try to get a sense of desired  fill or size at the preop visit so the patient knows we need some latitude for operative adjustment.  If a patient is adamant about being too large overall, we tend to insert a smaller size.  Again, a  D versus a C may vary with bra styles and manufacturers. Assess the size at 3-5 months for now.  We have had a few athletic patients raise concerns over larger size at first, only to be satisfied and very happy at 6 to 12 months.  Some of those patients with large augmentations, over a year or more,  have settled and relaxed so much, that they wished we would have gone yet a bit larger.  About 26% of patients with primary augmentation feel they should have gone a little larger, once the implants feel part of their body and well incorporated into their new look.  The very slender toned patient is more prone to concern  if they have gone from an A to D cup.

 I am sorry to hear about your concerns after breast augmentation surgery. It is not uncommon for patients to feel that they are “too small” or “too big” during the early time period (several weeks) after breast surgery.  Many of these same patients are quite pleased with the outcome of the procedure in the longer-term (after they have  gone through the psychological and physical body image change adaptation period).  Therefore, I ask my patients to wait at least 3 to 6 months before judging the final outcome of the procedure performed. For women considering breast augmentation surgery in the future, careful communication between patient and plastic surgeon is one of the keys to successful outcomes; in my  practice I prefer the use of goal pictures to help with this communication process.  the use of it and brought sizers and computer imaging may also be helpful during this communication phase. On the other hand, use of terms such as “natural”  or “C or D cup” may be confusing (mean different things to different people) and be a source of miscommunication. In your case, if you remain displeased with the outcome of the procedure in the longer-term,  I would encourage you to communicate your concerns in a calm/constructive fashion with your plastic surgeon.  It should be possible with the use of smaller breast implant sizes/profiles to achieve your goals. Best wishes.

Thank you for your question.  If after 3 months you still feel your implants are too large then replacement with smaller implants should be possible.  Please discuss this in detail with your plastic surgeon.  You may also request copies of your operative note to better understand why you did not receive the size that you thought you were getting.