425cc look more like 300cc on me, 1 month post op and not pleased. Does height have an effect on how they appear? (Photo)

OneLOv3. I appreciate your concerns but way too early to worry. Your body needs time to heal and adapt to the implants. The skin and muscle over the implants must stretch a bit to allow the implants to settle into their final position. While your appearance will improve fairly quickly, don't expect to see your final result for at least 6 months (not 2 years!) after surgery. Good Luck!

Thanks for your question, and for providing your photos, that really helps!
In my experience of doing thousands of breast augmentation surgeries, I’d recommend that you wait at least 6 months before seeing your surgeon about an exchange/revision. I wonder if you tried sizers on before your first augmentation surgery? I find them to be very helpful and accurate. You DEF need to try them on before your exchange. Best of luck to you! 

Thank you for your question and the photo.  I am sorry you're not happy with your current result from your breast augmentation.  It sounds like you know that one month is much too soon to judge your  final result from your surgery, but I realize it can be hard to wait.  After about 3 months when the implants have settled and swelling is gone, you should be closer to seeing your final outcome.  Height and weight definitely can make a difference in how different sized implants will appear on your body.  Since you are tall and thin, I would think that a 425cc implant would give you a nice result.  Going too large can put the implant outside the frame of your body and would not look natural.There is a limit to how large an implant can fit on your frame.  If you continue to have concerns, please discuss them with your plastic surgeon who will do everything possible to make sure you're satisfied with your final outcome. Best of luck to you. 

Hello and Great Question.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Cosmetic Breast Augmentation Specialist.
You are still very early on in the healing process.  It typically takes 3 months for your implants to "drop" and settle before you can see the true size and results.  Be patient.  I think you will be happy with your results in due time.
I hope that helps!  Best of Luck!
Matthew J. Nykiel, MD
#CoreAesthetic
Breast Augmentation Specialist
Board Certified Plastic Surgeon

Dear 0neL0v3,I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You are correct in that taller women can handle larger volumes in implant sizes.  Did your surgeon promise you a D cup in writing?  Did you choose the implant or did your surgeon, using best judgment, do the choosing?   The answers will determine culpability here.  In the meantime, focus on healing and doing any exercises your surgeon utilizes to help position the implants where you want them to be.  My patients are asked to focus on the upper poles as I want them level and with the fullness my patient wants.  I do employ straps and massage as well and have found them to be effective in getting the desired outcome.  Let your surgeon know of your concerns and let your surgeon explain why you are what you are.  And focus on healing!

The best way to pick implant size is based on your breast and chest width and not the volume. As the implants get bigger, they get wider. When the width of the implant fits the width of your chest, it will look nice and fit your frame. If the implants are too small, you will have a gap between them and they may look too far apart. If they are too wide, they will make you look top heavy as they may be too wide and stick well out past the sides of your chest. There are ways to get a bigger or smaller look. This can be done by picking a different implant profile. The higher the profile, the narrower the base width of the implant. If someone has a very narrow chest and wants to be big, they should consider a higher profile implant. If someone has a broad chest and they do not want to be too big but want to avoid the gap and still have cleavage without projection, they should consider a lower profile implant such as a moderate. There are options in between these such as the moderate plus.  A consultation with a board certified plastic surgeon who takes careful measurements and talks to you about your cup size goals will be able to assist you in your decision. Good luck!

Your "size" should be stable by 2-3 months and your shape/form/position stable by 8-12 months, not two years. Dimensions have EVERYTHING to do with results. If you remain dissatisfied, you may need to consider changing to a different implant at the appropriate time.

You are still very early in your healing process and need time for your implants to settle and the tissues relax. This is the size that you and your surgeon selected. Please be patient, and discuss all concerns with your surgeon.

since you did not have a lift, I think you will largely get your final shape by the end of 3 months (not 2 years). Bra sizes are not standardized at all, so i try and encourage my patients to focus on how they look and not their bra size. Height and weight and body shape will affect your final look with the implants. I would say that 425 cc is a substantial augment, even if you are tall, you are quite trim. You did not show your pre-op photos but I suspect there has been a very significant change. When they settle more with time, they will look very natural. it would be unnatural for them to look high up. I personally think they look good on you. I would give yourself at least a year to adjust to them. if you wanted after that time, you could always change them for larger implants. david berman md