Did I Go Too Large? 5'2, 100lbs, B Cup.

Question

I am 5'2" and weigh 100 lbs. Wanted small C from a 32B(120cc). Got 371cc. My 32C bras I used while breastfeeding cover about a third of my new breasts. I am 3 weeks post op. Hate the huge breasts. Lost all self confidence. Asked my surgeon numerous times to make sure that they will not be too large and he assured me they won't. If I want a revision to go smaller how soon should I do it? Don't want skin to stretch out too much to have saggy breasts. Should and will the surgeon do it for free?

Tom J. Pousti, MD · Answer

I am sorry to hear about the stress you are experiencing. Considering that you are only 3 weeks out of surgery, you should be aware that many patients this early out feel that they are too small or too big only to be very pleased with the longer-term outcome of the procedure performed. Therefore, I think you will find most plastic surgeons recommend that you give yourself both physical and “body image” adjustment time before you evaluate the long-term outcome of the procedure performed.  For some patients this may take as long as 3 to 6 months.

	 If, after very careful consideration, you are convinced that you are not going to be happy with the breast size in the longer term, downsizing of breast implants can be done at any time. In regards to cost of surgery, best to communicate your concerns and questions with your plastic surgeon in a calm and constructive fashion. Hopefully with this type of communication, you will ( working together) come up with a solution that will achieve your goals.

	 For patients considering breast augmentation in the future, be careful about communicating your goals in terms of cup sizes;  this type of communication can be confusing and a source of patient dissatisfaction.   Likewise, I asked patients not to base their level of satisfaction with the outcome of breast augmentation surgery on what cut size anywhere afterwards.  Personally, I find the use of goal pictures helpful during the communication process.

	I hope this helps.

David Stoker, MD · Answer

If you are a 32A, I believe a 371cc implant would likely make you a D-cup.  Hopefully the decrease in size as swelling resolves will be enough to make you happy.

David Bogue, MD · Answer

First and foremost, it is too early to judge your size. At three weeks, your breasts will appear swollen and tight. It takes time for your breasts to accomodate the implants. It also takes time for YOU to accomodate to the implants. Breast implants can create a significant change in your appearance and how you view yourself. Give yourself time to get used to your new look. The time to discuss revisions is after 6 months when the breast swelling has resolved and you have had enough time to adjust to your new breast size. Downsizing implants is always an option. Be honest with your plastic surgeon, but give yourself time. Although a revision augmentation is unlikely to be "free," many plastic surgeons will significantly reduce the fee if a patient was truly unhappy with the results.

Asif Pirani, MD, FRCS(C) · Answer

It is too early to decide.  It will take around 6-8 weeks for most of the swelling to subside.  Wait until at least then to judge your size.  You should discuss your concerns with your PS.

	Best,

Jourdan Gottlieb, MD · Answer

Although I usually don't like to talk in terms of cup size (since there are no fixed definitions), without photos that is all there is here. 

	Many surgeons on this site suggest to expect a cup size increase for every 150-250 cc of implant, and that varies from patient to patient, and particularly for band size.  A C cup on a 34 is bigger than a C on a 32, smaller than a C on a 36 band. 

	For a 32 band I would have expected two cup sizes of increase with a 371 cc implant. 

	I like to have patients try on implants before surgery, and I find that to be most helpful in choosing the right implant for a given patient. 

	Three weeks is usually early to think about revision, but it seems that with a breakdown in communication that may have occurred here, a wait shorter than the usual 6 months may be best. 

	As to costs, that is something that will require a discussion with your surgeon. Office policies vary, and the policies themselves are not unchangeable for a given circumstance. 

	Thanks, and best wishes.

Did I Go Too Large? 5'2, 100lbs, B Cup.

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Answer: Breast Augmentation

Answer: Did I Go Too Large? 5'2, 100lbs, B Cup.

Answer: Did I Go Too Large? 5'2, 100lbs, B Cup.

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Did I Go Too Large? 5'2, 100lbs, B Cup.

Answers (5)

Answer: Breast Augmentation

Answer: Breast Augmentation

Answer: Did I Go Too Large? 5'2, 100lbs, B Cup.

Answer: Did I Go Too Large? 5'2, 100lbs, B Cup.

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