Too Small Breast Augmentation? (photo)

6 months post b/a & very unhappy with results,to point that i'm depressed/embarassed about it. At consult PS said mod profile would give me a nice sporty look and high would give me the fullness I wanted. Placed 375 high under muscle. Post op,PS told me they weren't as full as he expected either & he was surprised how much they pushed on my ribcage, but there was no way i could go bigger. Could this be the truth? Does it look like 375 is whats placed? 5'8'' 132lbs pre 34 a/b post Vsecret 34c/d

Doctor Answers 7

Disappointed with size post op

Your augmentation looks good but only you can decide if the implants are big enough. I always have patients try on sizers with a sports bra so that they can pick out a size they like. We have very few patients unhappy with their size. You can always place a bigger implant under local anesthesia.

Cincinnati Plastic Surgeon
4.8 out of 5 stars 74 reviews

Cosmetic Surgery is an Art and a Science

Thank you for the question. If you feel the implant is too small, then you may need a larger one. Also consider a tear drop shape for your vertical fullness. Best Wishes..Dr Thomas Narsete Austin, Tx

Thomas A. Narsete, MD
Denver Plastic Surgeon
5.0 out of 5 stars 10 reviews

Breast Augmentation Size

If you want to be bigger, but your implants are as wide as your breasts, consider a higher profile implant. The higher profile implant can be a larger volume with a similar width. That way, your nipple pushes further away from your chest and you will wear a larger bra size.

Michael Horn, MD
Chicago Plastic Surgeon
4.3 out of 5 stars 57 reviews

Going bigger than High Profile

If you want silicone, the only option is the extra high profile.  Another option which may not be as desirable would be to overfill a saline implant.  Sorry you aren't thrilled--you do look good if it makes you feel any better!

Michael E. Decherd, MD
San Antonio Plastic Surgeon
4.9 out of 5 stars 54 reviews

Unhappy with results

If you think that you are too small now then the obvious answer would be to put in a larger volume implant.  It sounds like your doctor was just as surprised by the result as you were.  I imagine that he would try and work with you to give you the best price if you opt for a second surgery.  If he refuses to go larger then I would suggest getting a second opinion elsewhere.  Bottom line:  If you aren't happy with your size and want to go larger then you need to find a plastic surgeon who would be willing to put in a larger volume implant.

Edwin C. Pound, III, MD
Atlanta Plastic Surgeon
4.6 out of 5 stars 25 reviews

Too Small Breast Augmentation

I am sorry that the outcome did not meet your expectations--the result looks quite natural and pleasing, but that doesn't mean much if you don't like it. 

I would expect an implant op that size to increase your breast size by about 2 cups, but there is no universally accepted standard, and you can tell by being measured as B at one place, C/D at another. Without a  preop photo, I couldn't guess the implant size, though it is quite unlikely that your surgeon would not tell you the size that was used. 

The width of the implant appears to match well the width of your chest--the implants are acceptably close in the midline, and don't extend beyond the sides of the chest. That probably means that the current implant width would best not be exceeded. You could without using a wider implant switch to extra high profile implants and go up to 500 cc, but you would gain about a half cup at the risk of having an unnatural appearance. Larger HP implants would likely look less natural by extending beyond the chest wall.

My best advice would be to discuss what is possible with your surgeon, and if nothing seems satisfactory, consider a second opinion.

Thank you for your question, all the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

As big as you can get?

Your doctor has used the widest implant your chest can handle.  The only way to go any bigger would be to use an ultra high profile implant but those can look extremely fake.  Maybe discuss with him/her and see options.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.