Please click on the web reference link below for my Comprehensive Guide to Breast Augmentation parts 1 and 2 for more detail about saline implant "overfill," which is not only possible but optimal to minimize visible rippling. Filling a saline implant to its exact stated fill volume can also lead to premature shell failure, leak, and deflation leading to re-operation.I see no reason to suspect your surgeon is lying to you--why do you question his honesty when you trusted your life to his hands in the operating room?The key is not "getting your money's worth" but getting as close to your desired size result as possible in as safe a surgical process as possible. Your final result takes 6-12 months to be fully realized, and continued follow-up and compliance with your surgeon's instructions is essential to obtain the best outcome.You apparently asked your surgeon about this, and his answer is exactly what I would have told you were you my patient. Since I wasn't there, it's impossible to judge the nuance and tone of his reply, but I am shocked that your takeaway was mistrust and that he may have been financially shortchanging you! Implants all cost the same regardless of size, so a 325cc saline implant costs EXACTLY the same as a 375cc implant. There is no reason at all for him to lie to you. If you feel too small with your 375cc implant volume (with the silicone shell the total final weight and size is closer to 390-395cc), then that's another discussion, since you apparently agreed to that size. If you want to go bigger, then I would charge you for the operating facility, anesthesia, and new implants, and would not charge another surgeon's fee. However, some would, for a size that you agreed to and now want different. BTW, if you end up with another operation, I would consider silicone gel implants. They can never leak, do NOT need periodic MRI scans to check for leak (read first phrase again), have much less rippling potential compared to saline, and feel much more natural, according to the majority of surgeons and patients. Saline implants have only slightly lower price as an advantage, quickly lost if a leak requires re-operation for a new implant(s).Trust your surgeon. Best wishes! Dr. Tholen