Implants are too large. Am I overreacting? I’m 3 months post op and regretting surgery. (Photos)

Question

I’m unhappy with my result 3 months post op. I wanted to be a C. I said I’d like around 330cc but my doctor insisted that was too small and he would use his discretion. He went with 450cc. I feel like they’re over the top. I know some people like that look but that wasn’t what I wanted. I was a 32a before surgery and currently in a 32ddd. I have rippling, my cleavage looks square and my breast look REALLY far apart. I know the implants are in the right place, but I think I need smaller implants.

Urmen Desai, MD, MPH, FACS · Answer

I would give it a little more time, as you are only 3-months out from surgery.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Daniel Barrett, MD · Answer

Dear ashleyalynnn,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

Justin West, MD · Answer

Hi and thank you for the question. I think this is only something you can answer. I find that patients go back and forth during the first 3-6 months about how they feel about their implants. Some days they think they are too large, other days too small, other days just right. I always ask my patients to wait 6-12 months before they make any decisions about changing implants. The good news is that if you do decide to change them it's often quite straight forward. Just depends on how much you are trying to change. Best of luck to you.
Dr West

Steven Varkony, MD · Answer

It’s
still early in the recovery process and implants can take up to six months to
fully drop into the pocket and soften. It’s important that you are following
your surgeon’s post-operative care instructions to ensure the best results. We
recommend scheduling a follow up appointment with your surgeon to further
discuss your concerns

Susan Buenaventura, MD, FACS · Answer

If you felt happy with a 330 cc and got 450 cc, that's a significant size discrepancy.   Now you know that 450 is larger than you want.  So it would make sense to go down at least 100 cc and perhaps a little more.   I think 3 months is enough time to know you want smaller implants and consider the exchange.  They do look a bit large for your frame and the breast skin envelope looks tight to me.  I am sure your surgeon will be happy to work with you to revise.

Douglas J. Raskin, MD (retired) · Answer

Greetings,I am sorry to hear that your recent surgery has left you larger than you anticipated.  A patient's size goals after surgery is always an important topic to be discussed and agreed upon prior to the enlargements.  I anticipate and explain that small breasts widely separated will become larger breasts widely separated with implants.Some plastic surgeons, including myself, have patients size implants inside a bra prior to implantation.  This gives the patients a sense of both size and anticipated breast weights. This is an estimating technique which I find safer than picking breast implant size for a patient based upon my "judgment".  A patient's view of their own body and breasts is best seen through their own eyes. I do not feel comfortable exceeding the volumes chosen by a patient during consultation(s).You might obtain peace of mind with additional months of healing and a revisit to your plastic surgeon for guidance.Best Regards,

Jon Ver Halen, MD, FACS (license suspended) · Answer

Dear Ashley A Lynnn,Hello and thank you for your excellent question.  I agree that you may need a revision, as your implant discrepancy this early in your recovery is concerning.  I suggest that you follow up with your surgeon, and allow him or her to address your concerns.  If you are not satisfied with the answer, then seek a second opinion. If you have any questions, call our office for assistance. Good luck!
  
Best,
  
Jon Ver Halen, MD FACS
  
Harvard educated plastic surgeon
  
Texas “Top Doc” 2017, 2018
  
RealSelf100
  
America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 - 2018

Robert E. Zaworski, MD (retired) · Answer

I would give it a little more time, as you are only 3-months post op.   Implants are easy to exchange.  Discuss your concerns with your plastic surgeon.

Jon A. Perlman, MD (retired) · Answer

Normally we tell patients to judge their size closer to six months than three months but I'm concerned by the major discrepancy in the cup size that was achieved compared to your goal. Discuss this with your plastic surgeon who may wish to consider placement of a somewhat smaller implant at the six month point. Be patient but be insistent if after resolution of swelling you're unhappy with your size. For a small B cup a 450 mL implant is somewhat large when one has hopes of achieving a C cup as you stated.Best wishes,Jon A. Perlman, M.D., FACSDiplomate, American Board of Plastic SurgeryAssociate Clinical Professor of Plastic Surgery Geffen/UCLA Medical CenterExtreme Makeover, ABC TV plastic surgeonBeverly Hills, Ca.

Gregory Park, MD - Account Suspended · Answer

If you are not happy with the size results, especially since there is a significant expectation and outcome difference (C versus DDD) in the size of your breasts after augmentation, you should discuss your concerns with your plastic surgeon. Best wishes.

Implants are too large. Am I overreacting? I’m 3 months post op and regretting surgery. (Photos)

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