Are my 345cc implants too far apart (4+ fingers)? Scars are awful & less than I consented to (Photos)

Question

Hello, so basically I had signed a consent form for implants between 350-385 ( wanting the 385) now when I woke up from my surgery I knew immediately that something was wrong. They were lop sided and extremely far apart. The doctor had only put in 345 ( less then I consent too) and the scars seems very bad compared to one’s I’ve seen in healed photos. Is this something that the dr is required to fix or do I have to pay again?

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  A large portion of my practice is dedicated to revision breast surgery.  In your case, you are a straightforward fix with an internal bra procedure, otherwise known as capsulorrhaphy and scar revision. I wrote the very first paper on this 20 years ago.  You should be able to have an excellent result with an attractive cleavage zone.  Best wishes to you.

Daniel Barrett, MD · Answer

Dear Calm558323,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Please discuss your concerns with your surgeon. Also, please check your preoperative paperwork to see what the practice's policy is concerning revision surgery and costs.

Douglas Taranow, DO, FACOS · Answer

there are many things going on here.  First, when did you have your procedure?
Do you have pre-op photos of yourself to share?
The difference between a 345 and 350cc implant are so small the naked eye cannot discern them apart.  Implants come in all different sizes and go up in certain increments (usually 25-35cc's depending on the size and shape).  
I agree your cleavage is a bit wide, but that may be due to your anatomy or the surgeon's technique.  The IM scar is healing and might be a bit wider or longer than others I have seen, but certainly not terrible (I have seen FAR worse!).
After they have settled some (if you are less than 6+ months post-op), you may have a revision to open the medial pocket to reduce the wide cleavage.  This usually has a smaller OR fee.
Best wishes.
Dr. Taranow

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