I hate how “bulbous” my upper chest feels - will a revision fix this or do I need an explant? (Photo)

This is a good question. While downsizing the implant may help reduce the fullness in your upper chest, some of the fullness can be because of your chest muscles and your anatomy. It is hard to appreciate this on the photograph provided alone. Doing an explant surgery will reduce the overall size and affect the shape of your breasts, but may not fully address the bulbous feeling you have under your collarbone. That's why going over specifically what you do not like about your upper chest will help guide the decision making process. Hope this helps!

I would be curious to see you point out exactly where the fullness up top is that bothers you, and the measurements of your chest versus the implants you currently have. Often this can be improved by changing to a smaller implant or one with a different profile. Sometimes it is fullness from the pec muscle itself, which can be improved by switching to a subfascial implant placement.

Dear Original5236,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery