Why are my boobs so small???? 550cc (photo)

Question

I got a breast augmentation 5 weeks ago.I started at a 34b and got 550cc silicone gel implants under the muscle and I'm measuring a full c cup,maybe a small d cup. I'm so confused. I'm 5'6" a 134 pounds and I thought for sure I'd be a very large d if not a dd. I'm really really dissapointed. I'm really not sure how to bring this to my ps attention. Am I just kind of SOL and have to pay a full breast augmentation price to go bigger? Or do they usually work with you. please help me.i'm devastated.

Robert M. Tornambe, MD · Answer

I appreciate your disappointment, but you are early in your postop course and need time for the implants to settle and skin and muscle to adjust. Don't think about revision until at least 6 months postop. You are not small now and remember really large implants have a higher incidence of complications down the road.

Aldo Guerra, MD · Answer

The photo I see shows very big breasts. I don't think those will be a C+ or small D. They look bigger. If you need a revision to go bigger you should know that very big implants carry more risks and have higher revision rates. If you're financially sensitive about these things as you mentioned in your statement, keep that in mind as you head towards a potential revision. Best, Dr. ALDO.

Larry Weinstein, MD · Answer

Looks like your 550cc implants are about the maximum fill volume your chest could tolerate. You have great cleavage, are level and have good fullness. I can't see going larger from the photo you provided . However an under wire bra may help support the implant in the current position. Good luck and enjoy...

Andres Taleisnik, MD · Answer

As many plastic surgeons will tell you, bra cup sizes are very unpredictable. For example, although you may be using a full C or small D cup bra now, I'm sure that Victoria's Secret would put you into at last a full D or DD bra. What matters is how you look, not what the label in back says. 550 cc implants are on the larger side, and your breasts do not look small at all to me. Your result is very attractive, and I'd definitely advise you to wait at least a few months before making any decisions to undergo more surgery. Jumping quickly from surgery to surgery is never a good approach. If you eventually decide that your breasts still look too small (based on appearance, not bra cup size), then a revision procedure could be reasonable. Your surgeon will need to assess whether a larger implant is feasible for you, or whether it would distort your breasts excessively. Also, remember that larger implants are heavier, and will lead to faster stretching of tissues and possible drooping/sagging.In terms of costs, every surgeon handles this differently. Some surgeons would charge no fee for themselves, but would charge for the cost of the implants and the surgery center/anesthesia fees. Some surgeons might charge some fee for themselves, especially if they feel that they did an excellent job that was consistent with the decisions you made. Some surgeons might even charge a full fee, although I suspect that most would at least provide some discount. Don't be afraid to return to see your surgeon to discuss this, although I'd suggest that you wait a little while first, as mentioned above. If you are honest and courteous with your surgeon, he or she will be appreciative and will likely be honest and courteous with you too.

Robert Frank, MD · Answer

While physically you're getting toward your result, psychologically it can take a while. I have several patients with even bigger implants than yours who initially thought they'd gone too small. Now, 6 months later, they're glad they didn't act on their initial impression.

Vincent N. Zubowicz, MD · Answer

You have very large implants in large breasts after the augmentation. The ultimate size however should be chosen by the patient. There good sizing systems to make certain you're getting the implant that you wish. In my own practice, I do not charge an additional professional fee for surgical revision.

William Andrade, MD · Answer

Sorry to hear you are unhappy with your current size.  It is always best to discuss any issues like this with your surgeon - I am sure they would want to know your concerns.  Your surgeon has to take into account your pre-existing breast size when helping you to select your implants, so if you have a discussion they will be able to tell you if they feel is feasible and safe to insert even larger implants.

Craig Rubinstein, MBBS · Answer

Hi ussawarrior10,

Your breasts are certainly not what
we’d consider to be small. A 550CC implant is on the larger scale of implant
sizes. Your plastic surgeon probably would’ve suggested that is the maximum
size you should go given the size of your chest wall as you are a petite woman.
It’s unfortunate to hear that you’re disappointed with your results, but rest
assured your results look good in my point of view, and it is really too
early to judge your final outcome given your surgery was only 5 weeks ago. I
would suggest waiting 12 months for everything to settle, and if you still want
to upsize then go back to your plastic surgeon for advice. A larger implant can usually be placed once the skin and pocket has stretched and loosened.Good luck,Craig

John P. Stratis, MD · Answer

Although we speak about breast size in terms of cup size, I always tell my patients to use the way they want to look as their goal and endpoint and not cup size. If a certain look is desirable and ends up being a C then that's OK. If it's a D then that's OK also. Try to focus on the way you look and not what size bra you wear. And by the way things look in your picture you certainly are large and your look reflects the 550 cc implants.

Steven Wallach, MD · Answer

You look quite large with the implants that you have.  Larger implants can be more problematic and cause early sagging.

Why are my boobs so small???? 550cc (photo)

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