Can a doctor put in a different implant style than what was written and agreed upon?

Question

No hate to my doctor, I think he must have just not understood that I was asking for Natrelle Inspira Highly Cohesive (which is what I specifically wrote on all my signed forms). As it turns out, I just received my implant cards & he actually put in the Softtouch (SSX) rather than the Highly Cohesive (SCX) that I asked for. We had verbally agreed I’d be switching to “the gummiest, firmest implant on the market.” Are the Highly Cohesive (SCX) really only used for cancer patients? Confused.

Jeffrey M. Darrow, MD · Answer

I have not heard that the SCX implants are only used for cancer patients.  That said, if all of your communication with your doctor and your consent forms, have you requesting a specific style and size implant, that should’ve been what you received.  If you have a good repport with your plastic surgeon, ask if they would be willing to do a simple exchange and so you can receive the implant that you wished for.

Camille Cash, MD · Answer

If you and your surgeon agreed on a specific implant and your consent forms include only that implant then it should have been the one used unless it states that alternatives can be used.  I encourage you to speak to your surgeon about your concerns for clarification.

Connie Hiers, MD, FACS · Answer

Your doctor might have switched the implants because your requested implants were on backorder, were not ordered, or he did not have the right size. You may like these even better. The gummy bears are firmer and not as natural feeling, especially as you age. I am not a fan and the women I have changed preferred the softer implants to the gummy bear. Please discuss any concerns your have with your surgeon.

Mats Hagstrom, MD (license on probation) · Answer

Your question is more of a legal question than a medical one.
If you were legally consented for a specific type of implant and a different implant was used then you may have a breach of contract.
Potentially this could include operating without consent.
If The final decision was left up to your doctor or this was not in writing when you probably don’t have strong legal grounds. 
I suggest you start by talking to your surgeon about what was discussed, agreed upon and the final decision.
If you’re content with the outcome, then maybe that should speak for itself.Personally, I don’t think the most cohesive implants are at all ideal.
They tend to be really firm and remember that not too long ago. All implants were liquid.
There are no absolute in regards to implant selection.
If you want to get a better understanding of the legality, then you need to talk to legal experts.
If you had very specific concerns about what implants were used, then this should’ve been discussed before or on the day of surgery.
Best,
Mats Hagstrom MD

Can a doctor put in a different implant style than what was written and agreed upon?

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