I've had my breast implants for over a year,but before surgery the doctor and I agreed on HP 475cc and after surgery I realized that they were not what we discussed as she put in moderate implants. When I emailed her, she said these ones fit better. Isn't that something she is suppose to figure out and discuss with the patient before surgery? Is this malpractice? Ive had other consults to fix this and have said I need HP and MP is too wide, & she made the right pocket too big so they are uneven.
Answer: See your surgeon I recommend discussing your concerns with your chosen surgeon. Best of luck. Regards,
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Answer: See your surgeon I recommend discussing your concerns with your chosen surgeon. Best of luck. Regards,
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June 7, 2016
Answer: Malpractice with wrong implants? What can I do? 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!
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June 7, 2016
Answer: Malpractice with wrong implants? What can I do? 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!
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June 7, 2016
Answer: Malpractice with wrong implants? What can I do? 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.
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June 7, 2016
Answer: Malpractice with wrong implants? What can I do? 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.
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June 8, 2016
Answer: Not malpractice 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.
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June 8, 2016
Answer: Not malpractice 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.
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Answer: Malpractice with wrong implants? What can I do? 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.
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Answer: Malpractice with wrong implants? What can I do? 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.
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