6 weeks post op, I still feel my breasts are too big. Can I have a revision with 225cc under the muscle? (photo)

At 6 weeks post-operative your breasts may
still be swollen. You should wait a good 6 months to allow swelling to subside
and the implant to soften before making a decision to go smaller. Also there is
not a visible difference between 250cc and 270cc so you may want to reassess
with your plastic surgeon. Best of luck

Did you try implants on to select out a 250cc and state that or did you leave it up to your PS???? Honestly 270cc is not significantly larger than 250cc and I would advise you to wait 6 months before you make any decisions as they will soften and relax and hopefully have a better look for you. Revision will most definitely cost you in most all PSs practices. Very nice result at 6 weeks as a compliment and best of luck.

Hi Louise,At 6 weeks there is still some swelling that may be going on for you. Its best to wait at least 4-6 months to see the final result. 25cc difference in implants is very minimal also.Overall I think you have a good result and would give it a little more time for the swelling to go down. Of course have this discussion with you plastic surgeon also.Dr. Daniel BarrettPlastic and Reconstructive SurgeryBeverly Hills, CA

The reason for waiting, as discussed by the other surgeons in this forum, is because any residual swelling will slightly decrease the size of your breast and some settling will occur and allow the implant to descend slightly to centralize behind the nipple.That being said, if you want to decrease your breast size when the time comes and want to be smaller  I would decrease your implant volume to at least 225 cc.  However, the diameter of a 225 cc implant will barely fit under your muscle superiorly and that small of an implant will give you very little fill of the superior (top) pole of your breast.   Just some things to consider if you go to a smaller implant.

The difference in sizes you mentioned are not too significant.  You discussed a 250 and got 20 more cc, that is about a table spoon and a tea spoon of extra volume.  Your breasts will get smaller as the swelling settles but if you still want to go smaller, your surgeon will probably ask you to wait 6 months or more.  Discuss your concerns with your surgeon and have some patience before having more surgery.  Each time you have a revision, your risks of complications increase.  Most surgeons will charge for a size replacement and a new set of implants, OR Fee and anesthesia costs.

At 6 weeks post op, your breasts would still be swollen.  You should wait until around the 6 month mark before making an assessment on the final shape of your breasts.   It will take more time for them to soften and feel like part of your body.   There isn't a significant difference between 250cc and 270cc implants, and you would need to go through another procedure for a minor difference in volume.  Patience is important during the recovery period.  Each practice has it's own policy on revisions, so best to speak to your PS.  I suggest that you keep up your follow up appointments, work closely with your PS and voice any concerns to him.    Wait 6 months and see how you feel about your breasts.  If you are starting to like them, then hold off on a revision for a few more months and again, re-evaluate.    If you are still unhappy, let your PS know and take it from there.   Best of luck,

At 6 weeks from surgery, you still have some swelling. it is too early to consider exchanging for a smaller implant. Please give your body time to heal--at least 3-6 months.  Then, if you are unhappy, discuss this with your surgeon. You will need to discuss fees with his office.  Every surgeon has his/her own policy for exchanges.

6 weeks post-op is too early to make a judgement. Wait a full six months to see the final outcome. The difference between 250cc and 270cc is not perceptible. You might see a difference between 270cc and 225cc. If your implants are saline they should probably be under muscle to avoid visibility and rippling. Wait a full six months before deciding on the size change and possibly going under muscle. Good luck. Daniel Golshani, M.D., Beverly Hills.

Thanks for writing,You are only 6 weeks post-op. The implants will need to settle and the breast will continue to shape. As the implant drop it should settle slightly below the nipple, helping to make the implant look a little smaller. You need to give it time. I would think between 3 and 6 months would an adequate time to re-evaulate your breast. I would certainly discuss this with your Board Certified Plastic Surgeon, who I know will be happy to help you.Lastly, the difference between 270cc and 250cc is 20cc, that's less than one ounce in volume. This issue of sub-gland vs. sub-muscular you should discuss with your plastic surgeon. Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

It is not unusual for implants to take 3-6 months to settle or drop into position.  If they don't, they can be either repositioned or new smaller implants can be placed.  You will likely need to pay for the operating room, anesthesia and implants and possibly a surgeon's fee depending on your surgeons policy for secondary surgery.  Give it some time to allow the implants to settle.