Is Silicone and fat density the same?

Question

I recently underwent a reduction surgery with implant for upper fullness. They felt large, so after surgery I asked what was removed from my breast tissue and he said almost 400 grams on each breast, and I was shocked to find out I had received 470cc silicone implant!! (I was under the assumption of 300-350cc before going in). 6 months later, I feel just as large, and now want another reduction surgery. Did I even get a reduction in size per DR standards? 400 grams removed, 470cc inserted?

Daniel Barrett, MD · Answer

Dear zknucks,breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Curtis Wong, MD · Answer

so silicone is more dense but volume wise, a cc is a cc regardless of where you get it from so it would have been nice to know how much volume was removed.  If you wanted to keep your size and be fuller on top, you should be close to what you asked for.  If you wanted to be smaller and perkier, your surgeon did not give you what you were wanting.  The differences you mention between what you got and what you anticipated would have produced an outcome about a cup size smaller.  Discuss your concerns with your surgeon and find out where the communication went astray and see if he/she can revise you under his/her revision policy

Is Silicone and fat density the same?

Answers (2)

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