Not happy with breast augmentation results. Can I complain and have free surgery? (Photo)

Hello and thank you for your question.I am sorry to hear that you are displeased with your breast augmentation results. At only 2 weeks post op, it is far too soon to make a judgement on the final outcome of the procedure. I encourage for you to have patience and allow the breasts to settle into place.  If, after 4-6 months you are still not happy, address your concerns with your Plastic Surgeon.  Each surgeon's office has different revision rates, however, in my office, the surgeon's fee is waived for revision cases and the patient is only responsible for a portion of the OR and anesthesia fees.

It is way too early to consider a breast revision at this point in your
recovery. I usually tell my patients that you are about 85% of the way to your
final result in 3 months and achieve it by one year.

Your
final results following a breast augmentation are mostly present; including
"dropping of the implant", when implants are below the muscle, within
the first 3 months for most and certainly by a year. Breast implants initially
after surgery when placed in a submuscular position often give superior
fullness that corrects itself with time, the "fluff and drop"
phenomena. In reality the pectoralis major muscle takes a while to adjust its
size to accommodate the implant as well as occasional muscle spasm which keeps
the implant projection higher than its final resting shape. Additional
variables include:laxity of skin, size difference during prior pregnancies,
position of implant,size of muscle, and size of implant.
As the
muscle relaxes the projection of the implant often increases and the breast
shape improves. Massage and use of a superior placed elastic strap can often
make this process go faster.

The two
breasts commonly heal quite differently. One breast may swell more, feel more
uncomfortable, or have a different initial shape. After complete healing, they
will be more similar and natural. You must have patience, but if this causes
concern, ask questions of the doctor or the nursing staff. I will
explain in the link below. Re: asking for a free surgery: your fees covered the preoperative consultation, surgical facility, surgeon's fee, anesthesia fee, best surgical effort of the surgeon, and post operative care. It sounds like this was provided. As Plastic Surgery is an art form and inexact science there are no implied or inherent guarantees.Was there anything in the paperwork that covered "free surgery" in the future?

It is very important during the consultation process you clearly discuss with your plastic surgeon your goals of surgery. You are only two weeks postop and at this time it is to early to for see the final result. Typically it takes 3 months for implants to settle and swelling to subside. You should discuss your concerns with your plastic surgeon. 

I am sorry to hear about your disappointment with the results of the breast surgery. As you know, it is likely much too early to evaluate the outcome of the procedure performed and whether or not you will be pleased with the outcome long-term; it is not unusual for patients who feel that their breasts are too small early out of breast augmentation surgery to be very happy with the longer-term outcome of the procedure performed.Generally speaking,  the policy regarding coverage of expenses for revisionary surgery will vary from office to office and probably on a case-by-case basis as well. Costs of revisionary surgery may range from zero,  to anesthesia/surgery center fees, to discounted surgeon's fees.Generally, successful plastic surgeons rely on positive word-of-mouth and will work hard to maintain satisfied patients.  Also, generally speaking, I suggest patients communicate their concerns in a calm and constructive fashion; this form communication tends to be much more effective than confrontational communication.Best wishes; hopefully through courteous/respectful communication you and your plastic surgeon will be able to work out a plan to achieve your goals.

I'm sorry that you are having this difficulty at what should be such a happy and exciting time in your life.  Although you are very, very early in the healing process to be worrying about revisions, I thought I would address your question simply because it brings up a very important point for all people contemplating surgery to understand.  The issue of refunds and revisions for unsatisfactory results should be spelled out in a written financial policy that each individual surgeon should have in his or her office.  While most surgeons may be very similar in their policies, each surgeon is free to develop his or her own policy (within the limits of the law, of course), thus there may be some variability among surgeons with respect to this.  You should have received documents on such a policy and completely understood it and signed it prior to undergoing surgery.  If you did not, then it will be harder for you to make any case about revision surgery.  The best thing for you to do is review all of the paperwork that you received from your surgeon's office and ask to see a copy of all of your medical records, including any financial policies that you were given or that you signed.  Then, if it still isn't clear to you, you need to have an open discussion about this matter with your surgeon or her business manager to see if you can come to some agreement about what to do in the event that a revision is necessary.  

You are far too early to worry.   Likely you will be fine.   If changes in size are even considered it should be at one year post surgery.    The surgeon must choose the size that fits a given person.   It is not possible to simply stuff larger and larger implants into a space that will not hold them.  It is like stuffing a large foot into a small shoe.  It just does not work.   Also the larger the implants means the larger the problems very often.  So go talk to your surgeon and be patient.  Give your body a chance to accommodate.   345 are not small implants.  My Best,  Dr C