My PS Gave Me Much Bigger Implants Than I Requested! They Are HUGE for Me!

Implant size and type are generally determined before your surgery, so the patient knows exactly what they are given and agrees that it will be able to achieve their expectations. In rare cases, a different implant may be used but it should be roughly the same as what was discussed. I would suggest you talk to your surgeon calmly to express your concerns and disappointment.  

Unfortunately, without a complete history and physical exam and through pre operative photography there is not enough information to make an informed plan, please consult your surgeon or another local board certified plastic surgeon

I am so sorry you are unhappy with your results; I would bet your surgeon is equally dismayed, since of course he used all his experience and best judgement to try to achieve your goals!

Let's examine your situation in detail (at least as much as your included information allows): you are slim and petite, and after two children had smaller than A-cup breasts and loose skin. A lift alone would have yielded scars and an ounce less volume (skin removal) than your present quite small breast size. Unhappy result, and more costly operation (and you can't "take the scars back.")

You asked for "small, conservative" results, but did you try on implants to let your surgeon know just what that meant to YOU? (because it obviously meant something else to your surgeon.) Did you bring photo examples of just what "small and conservative" is to your mind's eye? Did you look at your surgeon's and many other website photos of patients with similar size breasts to yours, and what size implants gave them results you liked? If you didn't then perhaps this is a shortcoming of your surgeon's sizing process, because I suspect he can't read minds, and obviously missed the mark with your surgery.

Lest you be too hard on your surgeon, you should understand that 450cc is (by my personal estimation method determined over 25 years and thousands of breast patients) anticipated to add just under two cup sizes to whatever breast volume you started with. At AA before surgery, this would yield a full C cup (perhaps a D-cup bra from Victoria's Secret) for most patients. And of course, we haven't discussed the "(loose skin)" that did require a certain volume to adequately fill so that you wouldn't have a truly unhappy "rock-in-the-sock" result. 450 sounds like a large number, but it is a very common size for someone with loose skin and little breast tissue of her own.

Going down 100cc (just over 3 ounces, or 1/4 of a can of pop) will be a barely-noticeable decrease in size and will increase sag (same skin, less volume) somewhat. Going down 150cc will drop you by just over 1/2 cup size and will increase the skin laxity a bit more.

For now, I'd advise patience and continued follow-up with your surgeon without anger or "blaming." He truly wants you to be happy, and acknowledging that to him while calmly expressing your feelings (which you should understand may change as time goes by) is the prudent way to keep your surgeon on your side rather than defensive. You should also discuss (if you didn't already--always something that SHOULD be done PRIOR to surgery, IMHO) what revisionary surgery costs are and who is responsible for what. Being vociferously unhappy does NOT get you a "free" re-do; it often gets you another surgeon who charges full price. Be well and take care. Best wishes! Dr. Tholen

This is a relatively short time to exchange implants and it is likely that exchange at this time will not have significantly changed your breasts or have caused more sgging than prior to surgery. In other words, if you downsize and you need a lift, you probably would have needed a lift in the first place. The larger implant was proabably chosen to avoid the need for a lfit

  Many women do not want to consider a lift due to the scarring. You may be an excellent candidate for a Peri-areolar lift. The Peri-areolar lift is a great technique for patients who require a small lift. The incision is made around the areola and a dough nut-shaped section of skin is excised. The skin is sutured with a purse string technique and the incision is hidden in the borderline of the areola, so you do not have much scarring, in fact it usually fades and will be almost invisible. This technique is most often accompanied with a breast implant since the purse string suture will tend to flatten the breast. The technique will tighten the skin envelope, but does not reshape the underlying breast tissue. Sorry you are unhappy, hope this ends well for you.