Not Happy with my Breast Augmentation, Will This Be Included in my Aftercare?

6 weeks ago I had a breast augmentation, and i am not happy with the resutls. My surgeon didnt listen to what i wanted, he decided to go 5cc higher then what we dicussed so that he could use a smaller profile, and didnt tell me untill the day of sugery. My breast now look completely natural which isnt what i wanted. My after care says revision surgery is free of charge if the surgeon isnt happy, but doesnt mention that it is the same if the patient isnt happy.

Doctor Answers 14

Breast Implants

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We don't have a full set of preop pictures to compare, but you appear to have a pleasing result.  5cc is a teaspoon and would not be perceptable. Keep communicating with your surgeon, but I would be feeling real, real good about your result.  Many patients have noticable differences postop where one breast is higher, or bigger  and you turned out with great symmetry based on your photo.  All the best, "Dr. Joe" Gryskiewicz

Unhappy after augmentationj

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1) your breasts look great;

2) 5cc is of -0- consequence and makes absolutely difference in your results

3) wait 6 months and then assess your results.  You can always go bigger (my approach is I do not charge for revisions but patients have to buy new implants and pay any surgicenter costs).

Ba results

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you would have to be much more precise about what you dont like. you have a beautiful result.  5cc is a teaspoon and is spit in the ocean.  relax  show them to your friends . you will be building your surgeons practice.

Jonathan Saunders, MD
Newark Plastic Surgeon

Breast Augmentation and Further Surgery Charges?

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Thank you for the question and pictures.

I'm sorry to hear about your dissatisfaction after breast augmentation surgery.

Although you haven't specifically asked for an evaluation of the results,  I will volunteer that you have achieved a very nice result after surgery. I would respectfully disagree with you in that your breasts do not look “completely natural”.

Of course, as the patient is your opinion that is most important; I would suggest a calm,  nonaccusatory conversation with your surgeon.

Unfortunately, no one besides your surgeon will be able to answer question regarding his policy regarding revisionary surgery.  

Best wishes.

5 cc

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Thank you for your question. Plastic surgeons commonly have to do what they think is appropriate on the table rather than what the patients ask for preoperatively, if in their clinical judgement it would improve the result. With that said, preoperative photos could help. Either way, 5 cc is only a few droplets of fluid and would make absolutely no difference clinically. If you want a real change, increase the profile of the implant and increase 200 to 300 ccs. 

5cc Difference Inconsequential

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Occasionally, we see patients who have difficulty reconciling their expectation with their actual surgical result. I personally feel that you have an excellent result. Your breasts have harmony, balance and proportion with the surrounding structures. You also have a natural look with upper breast fullness.
It’s important to understand that surgeons must work within the constraints of their patients starting anatomy. Based on your starting point, this is a result that the majority of patients would be happy with. It’s also important to realize that a 5 cc difference is only 1 teaspoon and is inconsequential.
It’s still early in the post-operative course and changes in your breasts may still occur. In addition, you may eventually adjust to your new breasts. It’s important in the interim to maintain good communication with your surgeon.

Not happy with my breast augmentation, will this be included in my aftercare?

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Thank you for your question. Revisions and further surgery for aesthetic procedures varies amongst surgeons and your preoperative discussion about expectations, results, and complications. Depending on your results and expectations, it would need to be a discussion that you have in terms of deformities and results.

You should discuss your concerns with your surgeon and hopefully come to a conclusion. I would not be surprised if facility and anesthesia costs are your responsibility along with a possible surgical fee to correct, however, the last one may be waived pending your previous discussions and examination. Hope that this helps and best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Unahppy after augmentation

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The discussion regarding your goals is something that shoudl have been clear during consultation and I make a very strong effort to figure out during my consultations.  5 cc's is not noticeable.  As for revisions, every office policy is different.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breast Augmentation - Not Happy with my Breast Augmentation

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There are two issues here:  the results, and the costs involved in a revisional procedure.

In my opinion, your results are nice.  I don't know what you looked like before, or what you wanted, but I think that you can generally be comfortable with how you look at this time.  5 cc is completely inconsequential.  I would argue that even 50 cc is rarely noticeable, except in smaller patients and where there's notable asymmetry.  5 cc certainly is not.

The surgeon's policy regarding revisions is a different and more complicated issue.  Each surgeon has his or her own policy regarding revisions, including what needs to be done and what the costs are.  Assuming adequate healing, many surgeons I know charge reduced fees (the implants, the anesthesia, the surgical facility costs are fixed and relatively high for this procedure) with no or a small surgical fee.  Charging a full fee is unusual, as is doing everything for free; that is simply not tenable in most cases.  Ideally, this issues are addressed prior to undergoing any surgery, but if they are not then I generally advise patients to try to work this out in a friendly manner with their own surgeon as this is usually the most expeditious way to get the result you want.  Whether or not you can do that, however, is where you need to start - I'm not sure, based on your photos, what I would even advise you to have done surgically.

But that's how I would advise that you approach this - first, figure out what can or should be done and see if it's even feasible and then address the specifics of accomplishing that, including fees.

I hope that this helps, and good luck,

Dr. E

Breast augmentation results

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Revision of surgery is covered by some surgeons; we want to have results that we are poroud of and that the patient loves.

Your situation is a difficult one for us because you have a beautiful result.  Unfortunately, it is not the result you wanted.  I would suggest that you talk to your surgeon to see what compromise can be worked out.

Michael S. Hopkins, MD (retired)
Albuquerque Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.