Surgeon put in implants bigger than I approved - is it reasonable for me to ask him to revise it?

Oh my goodness when will surgeons ever learn? The easiest way to get a patient upset is to put in implants different than what was agreed to ahead of time. What’s your recourse? I don’t know but you can certainly ask the surgeon to put in the implants they were supposed to

Ho & thanks for your question.
The best thing to do is call your surgeon and discuss this with him. There may be a reason for the larger implant that you are not aware of. Best wishes!

Thank you for sharing your question and I am sorry about your current outcome. I would recommend reaching out to your surgeon's office directly to discuss your concerns and to see what they can do for you as they know the full details of your procedure.

Hello, thank you for your question. Documentation is very important, silicone comes pre filled but with saline implants the size can sometimes vary between 10cc-60cc depending on the discussed plan. We always quadruple check before any surgery once during consult during communications pre op and then on day of surgery have the patient repeat the size they want preoperatively then again with the OR nurse and then again in the time out so that everyone is in agreement. Talk to your plastic surgeon, everything should be documented and see what your options are if you are unhappy with the increased size.

Dear allyb25,
I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. You will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question- certainly one of the most difficult parts of a breast augmentation consult is getting on the same page with your surgeon regarding your goals. I believe that most surgeons try to be very clear with patients that, within a range, we will use our best judgement based on your on-the-table results. That being said, it sounds like you very specific with your goal size range and I think it is very reasonable to have a conversation with your surgeon regarding a revision. Many will try to revise these issues to make a patient happy by either waiving their surgeon's fee or the entire fee. Good luck and I hope this helps.

There is no definite answer here. You absolutely can speak with your surgeon, discuss your concerns, and request an implant exchange. If you have documentation of implant sizes you discussed that may be helpful. It would also be helpful to you for your surgeon to explain the rationale behind the selected implants.

Since the specific size was not determined prior to surgery, and bras are not made to standardized sizing, there is a wide variety in sizes of what is a "D" cup, which you requested. The actual size was not preselected. I would suggest discussing your concerns with your surgeon. You might ask for a smaller implant and a lower profile. If you do change your implants, choose a specific size during your preop so you know exactly what you are getting.

I would discuss the issue face to face with your surgeon. Maybe he had a good reason to use the implant which he used and could explain that to you better. Going smaller is easier than going bigger, so it should not be too much of a problem.

Arthur Shektman, MD

You can always ask but to go down to 400 cc from 445 is only 45 cc! Going to 300 cc would be a more noticed difference. I would charge you my costs of new implants, OR time, anesthesia time, meds & supplies at approx. $3,500!!
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