Malpractice with wrong implants? What can I do? (photos)

I recommend discussing your concerns with your chosen surgeon. Best of luck. Regards,

Thank you for your pictures and questions. A comparative straight-on picture would be helpful to assess things side by side. Regardless, I would agree with Dr. Rand that this is in no way "malpractice" but rather an instance of poor communication. If there was an expectation from you that the surgeon would put in the implants you wanted without consideration for other factors, the surgeon obviously had the opinion that she had discretion to put in what she thought would be appropriate, for whatever reason. Either way, this is obviously a miscommunication and is unfortunate, but is not "malpractice."You would be best served by talking to your surgeon and explaining to her why you are not happy. After that discussion, maybe you can better understand why the surgeon made the choice she did. If she is interested in making you happy, she might be able to do the revision work for a reduced cost which would help you in the long run. If the miscommunication continues and you are not interested in continuing that doctor-patient relationship, then you will likely need a revision from another plastic surgeon in your area. Hope this helps!

Thank you for your question and photos. A frontal view would've been helpful with some preop photos. Every surgeon has a different approach in implant selection. I personally discuss this with the patient during consultation (based on anatomy and measurements) and discuss it again at the preop meeting at which time the final determination is made. Some surgeons use intraoperative sizers to determine what implant fits best. This should've been discussed preoperatively including your desires, the surgeon's approach and what is or is not possible based on your anatomy. A high profile implant tends to be narrower giving the same volume as a moderate size. Maybe your surgeon tried to give you better cleavage by using a wider implant. Your implants seem to be somewhat laterally displaced, but this is not malpractice. The reason why your implants ended up more lateral might not be tissue over-dissection. See a board certified plastic surgeon for another opinion if you cannot work with your present surgeon. Good luck.

as your agreed upon volume was used and your photos show decent results.  HP implants would have provided you with more gap between the mounds and most people do not want this.  Your consultants are suspect for saying your MP implant is to wide as your limited photos do not support that contention.  If you're not happy with your results, you should see your surgeon and invoke the revision policy to help you achieve what you desire.  Now if your surgeon documented that you were going to get HP implants, my opinion would change but most surgeons do not promise a profile.

Yikes!  Throwing around the word "malpractice" just makes me ill. You need to walk this back a bit.  First of all, your chest looks good to me although it  would take a frontal view and your pre-op photos to really judge your result.  Second of all, many surgeons - myself included- go to the OR with several sizes and/or profiles of implants available for any given patient.  Even very careful preoperative sizing cannot judge exactly how an implant will look once it is in the implant pocket.  It depends a lot of the thickness and give of the pec muscle and breast tissue and skin.  Sometimes the ribs are kind of wonky and can either increase or decrease the projection of a given implant.  It's complicated.   You just don't know until you get in there.  I always use intraoperative sizers when doing breast augmentation.  These temporary implants allow me to see how the breast expands and responds to the implant.  I tell my patients that I will do my best to use the size and profile we discussed at the pre op visit but I reserve the right and responsibility to use the implant that fits the best.  Implants are like shoes, they just have to fit and you don't know if they fit until you try them on. 

What you have had does not qualify as "malpractice", maybe just poor communication. I never go to the OR in a fresh new patient and wind up not doing what we had planned. Just shouldn't happen. Maybe your surgeon is less experienced and didn't know how to size you or discuss all this preop to have prevented this. Either way, your implants don't look too wide because there is still space between them. We don't have front on pics to see the look on the side if the pockets are wide out there. Even though you don't love the result, this isn't malpractice, but you will need a full revision possibly with pocket tightening on the sides to get what you want with HP implants.