Doctors help please - Botched boob job

Thank you for the question.

One of the important  things that prospective breast augmentation patients should be aware of is that a specific breast implant profile will not necessarily translate to a specific cup size  after breast augmentation surgery.  There are many variables involved including the amount of native breast tissue present and the shape of the chest wall for the particular patient involved. 

 In your case, it sounds like you have a chest wall concavity present.  If this is the case, it may very well be that a significantly larger breast implant than what you may have thought would be necessary to create the same size/projection that you are hoping to achieve. 

 In your description you do not state how far out of surgery you are.  This information is important in determining the appropriate timing to evaluate the end results of surgery and/or to consider further surgery.

 I would suggest that you continue to follow-up with your plastic surgeon,  avoid the use of the word “botched” ( which can be quite inflammatory)  and/or seek 2nd opinion in-person consultations if helpful to you. 

 Also, do not expect online consultants to be able to provide you with precise advice about the size/profile/manufacturer  of breast implant that will best meet your goals;  going with this type of advice will be a set up for further disappointment.

 Furthermore, I would suggest that you do not base your communication and/or satisfaction with the outcome of the revisionary breast surgery on achieving a specific cup size again, this type of communication can only be a source of miscommunication ( given that cup sizes will vary from one bra manufacturer to another and a "D cup" can mean different things to different people.

 In my practice, I find the use of goal pictures very helpful in the communication process.;  I asked patients to bring in pictures of what they would like to look like and pictures of what they consider to be too big or too small… 

Remember that it will be important for you to also achieve realistic expectations prior to undergoing any further surgery;  absolute symmetry of the breasts is rarely achieved,  especially for patients who have some degree of chest wall or pre-existing breast asymmetry. 

Best wishes; hopefully you will be very pleased with the long-term outcome of the breast surgery performed for you. 

I'm sorry to hear of your anguish and disappointment.  Without photos, no one can really address your concerns.  Regardless, the part that doesn't make any sense at all is it is physically impossible to have a smaller breast volume following an augmentation.  If you are still communicating with your surgeon and have confidence in him, its suggested you bring your concerns to his attention and give him a chance to address your concerns.  If not, seek a second opinion and be prepared to show him/her your before photos at your consultation.  It may also benefit you to better understand where you and your surgeon diverged on your expectations.