Breasts are far apart, small and did not drop evenly. Is Revision from Moderate to High Profile a Good Suggestion? (Photos)

Question

HI there, i had breast implants done march 2025 - 275 cc under muscle, moderate profile. I am unhappy with the results and gettig a revision for a few reasons : 1) the breasts ended up very far apart - my dr said that my natural breasts are far apart (not a lot of tissue to cover), but he said he can try to expand the pocket like .5 inches. 2) they ended up a bit smaller than i had hoped and look almost a cup smaller than the sizers i tried on. dr said my muscle compressed it quite a lot. 3) as you can see they didnt drop equally. the left is soft and dropped, the right is hard and compressed. dr said it is either that the muscle wasnt reieased or possibly capsular contracture. D Doctor is suggesting 375 CC soft touch inspira allergan mentor full projection so that he can get a wider base and also a more full look. Im so nervous that full will make me look super fake but i do want them to be a bit bigger, closer and i like upper pole fullness (bc that is what i am completely lacking). Do you think his suggestion is good or too addressive for my body shape? I am 5,7", straight build, lean, 115 lbs.

Daniel Barrett, MD · Answer

Dear ajeo24,

breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. 
When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.
Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.
Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.
You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Breasts are far apart, small and did not drop evenly. Is Revision from Moderate to High Profile a Good Suggestion? (Photos)

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