Promised Look Wasn’t Achieved, Then Told It Wasn’t a ‘Revision

I had a breast augmentation with a periareolar lift with Dr. Ramineni in December 2025. At my consultation in November 2025, I showed him goal photos and he told me implants plus a periareolar lift would achieve that look. I chose this option partly because it meant less scarring. I was quoted a price and told any revisions would be covered under his revision policy.

I’m now 8 months post-op, and my results don’t match the goal photos we discussed. The lift itself doesn’t appear to have done anything. My breasts are shaped like they were before surgery, just bigger from the implants.

At my follow-up, I explained this wasn’t the outcome we’d planned for. I was told that a more aggressive lift would count as a brand-new surgery, not a revision, and I was offered a $2,000 discount toward it rather than having it covered.

If you’re considering this practice, I’d recommend getting very clear, written detail on what specifically counts as a “revision” versus a “new procedure” before you commit, particularly if your results end up not matching what was discussed pre-op.