My doctor and I picked out 400cc silicone breast implants. After the surgery, he told me he could only fit 350cc. Thoughts?

Your surgeon likely made this decision based on what would achieve the best result. If he discovered that what you had decided on before surgery would lead to complications, both in the cosmetic result and for your health, I would guess that he made a decision to give you as close to the amount of volume you hoped for with the lowest risk of complication. In actuality, the difference of 50cc is not very substantial and the difference you were hoping to achieve was probably not possible with a single operation. That being said, if you are still unhappy with your result you may wish speak to your surgeon about going bigger in the future - as you likely would have even if the 400cc implant had been placed.

Thanks for asking. While this is rather uncommon, it does occasionally happen. If the PS encounters findings that make the larger implant not advisable putting a somewhat smaller implant is a good course. If too small for your taste, discuss your concerns with your PS. There are good options. Best wishes.

At  5'5 and 142lbs I would not consider you a petite woman but more the average size of one of my patients and I have fit 800cc silicon and saline implants in your size frame. Discuss your disappointment with your PS and see if there is any recourse.My average implants run over 400cc here in Dallas and I have never not been able to fit preselected implants into one of my patients and if that is a concern I would have definitely discussed this issue. I will try to discourage a petite 5'0 95lb girl from an 800cc implant....but she can definitely have a 400cc There is a certain amount of surgeons discretion into ultimate surgical decision making at the time of surgery that leaves it up to the surgeon for final end result. Best of luck!

Very hard to critique your surgeon's decision without knowing your pre-augmentation breast measurements but most likely the 400 CC implant just wouldn't fit so it was a judgement call on his part to go with a slightly smaller one but understand the difference between 50 CCs is not very much at all.  Meaning had he used a 400 CC you would not see much difference than you do already.  With that said, you may just need to eventually do an implant exchange for a much larger implant if you continue being unhappy with the overall size.  

Your PS made a choice that was best for your outcome, the 400cc implant may have been too big and could cause your incisions to open and/or an implant exposure.  The difference in 50 cc's is less than 2 ounces, however, if you feel after several months that they are still too small, you can have an implant exchange once your breast tissue is stretched from the 350cc implants.  

Sometimes an audible is called on the field so to speak.  Your surgeon was probably concerned that the larger implant was too much for your anatomy to handle. Discuss with your doctor.

Thank you for your question.I think that most plastic surgeons would defer to placing the implant that fits best at the time of surgery.  Pre procedure estimates are made as to implant size and ultimately that is up to the surgeon and the patient and you should discuss this issue directly with your plastic surgeon as he or she is the only one who will be able to answer you question.I would not get too hung up on the number of cc's.  There is not much difference between 350cc  and 400cc.  You would not want to go back to the operating room for an additional 50cc of volume.  Try to be patient and see how things look after a few months have gone by.  If you do decide to have your implants changed I suggest you have a very detailed discussion with your doctor about the size implant you would like.Good luck.

Without photos or physical examination, we can not guide you properly. You will need to speak with your surgeon as he or she knows the scope of the surgery, the circumstances surrounding the surgery, and the specifics about you. Allow yourself time to heal which may take 6 months before you assess the results. The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.

Without photos and breast measurements it is hard to comment on the situation. It is hard to imagine that a petite woman would not notice a difference in breast size after getting 350 cc implants. But if true, that would probably also be the case with 400cc implants. If 350 cc made no difference, 50 cc would not. Best to discuss the decisions made with your surgeon.

When choosing an implant size before surgery, there is a possibilty that the size chosen may not be the exact size inserted. In your case the PS most likely realized that the contemplated size was too large for the pocket. In this case he made the right call by reducing the size to 350cc. Trying to insert a size which was is too  tight could result in opening of the incision and exposure of the implant with possible infection beisdes having an unnatural look. The good news is that after sveral months during which time the muscle and skin have been stretched,  your surgeon can go back in and replace the implants with larger implants.You need to discuss this with your pS. Good luck!