Unhappy with BA revision: Not sure what to do next or what implant size i should have gone with? (Photo)

I am 5'4, 128lbs, no kids. Was a small 34A with very little breast tissue. 1st BA was in 2006, 415 HP saline submuscular resulting in a 34C. Developed capsular contracture, decided on 2nd BA. I asked my PS for a fuller look, like a "natural D". We decided on the mod profile, Sientra "gummy bear." He ordered a few sizes 470cc-510cc. On day of BA he said he would chose the implant. I was later told he went with the 470cc (I wanted the 510cc). I am 10 days post op, looking smaller, not my desired natural D.

Doctor Answers 5

Sientra Breast Implants

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Hi Sillybell,
I am sorry you had a capsule, that is a real pain.  You are still very early.  To my eye, from just the two photos, you look great and appear to be healing nicely, especially since you are tilted to hold your own camera..  So let the implants settle before making too many judgments.  I already know you are seeing a board certified plastic surgeon because Sientra only sells to BC plastic surgeons (by ABPS - The American Board of Plastic Surgery) who are members of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member of ASPS (The American Society of Plastic Surgeons). So that is great!  If your issue is mainly with size, keep you surgeon in the loop and share what you shared here.  I don't know if this will help you feel better, but the difference between 470 and 510 is barely a shot glass.  All the best,  "Dr. Joe"

Please don't get caught up in the differences in sizes!

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Let all of your selling go down.  After 6 to 8 weeks look at your before and after photos and see if there are issues.  If are unhappy with with surgeon the get a second opinion for re-assurance. Please find an experienced Board Certified Plastic Surgeon and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all aspects of facial surgery, breast augmentation and body procedures including tummy tucks or mommy makeovers!

Unhappy After Revision

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I'm sorry to hear that you're dissatisfied with your breast augmentation revision. As my colleagues have said, it's very early, and maybe you'll be happy with your results after a few weeks. Unfortunately, your breasts aren't going to be any larger than they are now unless you have another surgery. The good news is, your results do look nice so far from what I can see in these photos. Discuss your feelings with  your surgeon, and maybe get opinions from trusted friends or loved ones. If you ultimately aren't going to be satisfied with the size created by the 470cc implants, you may have to have the implants replaced. Good luck.

Andrew Smith, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 24 reviews


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I would bring my concerns to your surgeon and discuss what you had hoped for following your revision. Surgeons want their patients to be happy so I am certain he will take your concerns seriously. Also remember you are very early post op. Dr. Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 65 reviews

Breast re-augmentation capsular contracture

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hi and thanks for your question. You are still too early post surgery, let your breasts settle after surgery and arrange to see your PS for reassurance in the first instant. Good luck. i

Sultan Hassan, MD, FRCS(Plast)
London Plastic Surgeon

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.