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Does implant malposition mean incorrect post op sizing?

Hi, long story short I'm very unhappy with the size of my post op breasts. I know boob greed is real but I think this is more. I was a B cup preop(had breastfed also) ,no lift required and got 560ccs high profile silicone dual plane 13 months ago. I am only a D cup post op. This doesn't seem right to me at all ? My left implant is too high still and im needing revision on it, and my right was found ruptured at 7 months post op whilst checking integrity in my left! I guess my question is why have I only gained 2 cup sizes with 560s? Attaching photos of pre op and a few months ago (problem with my left has gotten slightly worse)

May 13th, 2016 QLD

  • Answer
    Dr. Raymond Goh

    Raymond Goh

    123 answers

    Plastic Surgeon
    Queensland, Australia

    Hi Tiger91.
    Thank you for posting your question and photos. I am sorry to hear that you have been unhappy with your breast augmentation outcome. 
    In regards to cup size, it is important to keep in mind that a certain cc of volume in a breast implant does not always equate to the same cup size increase in every patients. There are many factors that come into play, such as the size of the patient's chest and torso shape in general, that will determine the final cup size post breast augmentation. As long as the size of your the resultant breast is what you are after, then the cup size can be considered relatively less important.
    What's more important, I believe, is the breast asymmetry that is demonstrated in your post surgery photos and the fact that you mentioned that one of your breast implants is ruptured (detected from an ultrasound or MRI, I would presume). 
    Can I assume that your plastic surgeon is aware of your concerns and the radiological findings? If not, I would strongly suggest that you stay in touch with them, so that a mutual plan of correction can be considered and discussed.
    I hope this has helped.
    Kind regards,
    Dr Ray Goh

  • Answer
    Dr. Alex Phoon

    Alex Phoon

    26 answers

    Plastic Surgeon
    New South Wales, Australia

    Hello,As a general rule I don't like to talk about cup sizes personally. Cup size change isn't as accurate as ccs. Certainly, going from your pre-implant breast volume and adding 560cc is a big volume change. 
    I think the rupture is the big issue here and talk about symmetry and size change can be discussed at the same time with your surgeon.
    Hope this helps,
    Alex