I am sorry you are uncomfortable both physically and emotionally with your outcome. That being said, if you have expressed your concern to your plastic surgeon and they are not adequately addressing you, then it is not unreasonable to be evaluated by another board-certified plastic surgeon.

Published on Jul 11, 2012

The reason for delaying re-operation stems from the changes that will take place over time as you heal. Patients who choose to re-operate earlier may regret the choices they have made based on an evolving picture. For this reason, it is best to allow for stabilization prior to revision.

With regards to your particular situation, while there is no absolute reason you could not downsize, a measure of patience is best. This will allow you to make an educated choice about size etc. without chasing a moving target. It will also lower your overall risk of complications that can stem from early intervention.

As always, discuss your concerns with a board-certified plastic surgeon (ABPS).

Published on Jul 11, 2012

Your surgeon probably thinks given some time to adjust you will change your mind and avoid another surgery. There is no surgical reason you can't have replacement surgery.

Published on Jul 11, 2012

Ask your surgeon and take his advice. Since he performed your procedure, he is best to consult with. He can explain to you when you can have them exchanged.

Published on Jul 11, 2012

You can change implants at any time. In fact, it is probably best to do it earlier because it will lessen the chance of stretching out the breast.

Published on Jul 11, 2012

hello, and thank you for this question.I do believe it is reasonable to wait approximately 3-6 months to make any final decisions regarding implant size. In many instances the patient's may have some swelling following the procedure. Discuss all of these concerns with her treating surgeon. Best of luck.

Published on Jul 11, 2012

I'm sorry for your discomfort. At this point there may swelling and postoperative healing taking place that will affect your physical appearance and sensation. I agree with your surgeon. It is best to allow your body to heal prior to undergoing another procedure you may regret in the long run. I hope your feeling better, and that you ultimately achieve the aesthetic result you desire.

Published on Jul 11, 2012

It is fairly standard to wait about three months before going back in for surgery. There are a few reasons for this. First, it allows the tissues to recover fully so that all of the swelling and changes that happen are finished. Even with a simple device change there can be swelling. Second, it allows an adequate amount of time for you to fully decide whether you really want to downsize again or not. By setting a minimum timeframe, it forces you to really see where you want to be. You went larger for a reason, so it is always in your best interest to give it a chance. I hope this helps.

Published on Jul 11, 2012

I agree with your surgeon that you should wait at least three months to let the inflammation go down and thereby cutting down on the chance for complications. You should wait for the inflammation to go down

Published on Jul 11, 2012

After a thorough discussion about swelling and eventual dropping of implants has been done, along with the encouraging words about most people liking them later, in the end you are in the driver's seat. I don't know all the exact details of your surgeries or how you look right now, but if you want to you can remove them (and replace them?) sooner than later.

Published on Jul 11, 2012

I think one month is certainly enough time to wait. The longer you wait the more ptosis you will have

Published on Jul 11, 2012

Thank you for your question.
Your surgeon may be asking you to wait because depending on how fresh you are out from surgery, after everything heals, etc. you may be pleased with the outcome. The size, shape and emotional ups an downs of the patient will stabilize a few months after surgery.
Best wishes for an outcome that you will be pleased with.

Published on Jul 11, 2012

Thank you for the question. I don't see any reason to wait to downsize breast implants. If pocket repair with capsulloraphy is planned at the same time then perhaps having some of that capsule form will allow better suturing but even then I do not see a specific reason to wait other than to allow you to make a better decision for yourself. Sometimes a month or two allows a person to understand how they truly feel about their bodies and their new breast size.

Published on Jul 11, 2012

This seems very unusual because 125 cc is not a large difference. I am assuming you had the surgery to become larger because 300 was too small so perhaps I am wrong. If you wanted to downsize, do you want to be smaller than 425 or smaller than the original 300. If you are unhappy with 425 going to a 350 is probably not going to be much of a difference. I am not sure that I understand your goals.

Published on Jul 11, 2012

Breast implants can be exchanged at any point, especially after an exchange. Typically, breast implants will settle and the pocket will relax almost immediately after secondary breast augmentation surgery.

Published on Jul 11, 2012