Doctor Chose 240cc Implants and I Am Very Unhappy?

The part of your question that concerns me the most is the fact that you claim your surgeon was uninterested in your desires about size.  It is really important that the surgeon guides the decision but listens to what the patient wants.  I will allow my patients to select the size, as long as I do not feel that the size they are picking places them at risk for complications. I suggest you find another board certified plastic surgeon for your revision.

I am sorry to hear about your disappointment regarding your result. Selecting the right implant is one of the most important issues for breast augmentation. It a decision between the patient and the surgeon. Your surgeon made the decision that you did not agree or did you agree to allow your surgeon to make final decision? Do he or she discuss the reason for using a particular size/shape? Perhaps what's chosen is a better fit? Is there an anatomical reason that make it unsuitable for you to get bigger implant? These are some issues I think that's worth discussing with your surgeon, ideally before, not after the surgery.  I can't speak for other practices but typically in my practice, the decision is made jointly and there has to be an agreement between the patient and myself before the surgery ever take place. Revision is typically made after 6 months from the original surgery. 

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery