My implant width is over 6cm less than my BDW - should I have had wider Breast Implants? (photos)

Good afternoon,
Your surgeon made some terrible choices and gave you a bad result, plain and simple. First of all, you needed a lift. Second of all, in an attempt to avoid a lift they overdissected your pockets and gave you lateral displacement and bottoming out, which further increases your gap and decreases your upper pole fullness. And finally, blaming the gap on your anatomy versus their poor surgical skills is just lame. You need a donut mastopexy, which you always needed, and you need the Original Internal Bra, my strong permanent internal suturing technique which corrects both bottoming out and lateral displacement and will provide excellent cleavage and upper pole fullness. I first developed this technique over 20 years ago, and today it is the most common revision procedure I perform, at least 5-6 times a week- it works and it lasts. Finally, we will switch out your implants for slightly larger High Profile. Your surgeon chose UltraHigh Profile implants- the narrowest implants on the market- you never do that for a patient with a wide gap- what a big dummy!

There are many things to consider when selecting an implant including volume, type, style, and projection. Your photos indicate that you would have benefited from a breast lift when you had your augmentation. Selection of a wider implant would not have taken the place of a breast lift which removes excess skin and raises the position of the nipple/areola complex.

Dear Calm131873,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery