I would recommend that you return to your physician for an evaluation to determine the cause and probable treatment.

Breast Augmentation

There is a product in Europe, which is not currently available for use in the USA, called Macrolane. I assume it is more cost effective and has been used in a few cases but is not widely popular. Current products available in the USA are not FDA approved for this purpose and it would be considered an off-label indication. However, the economics are not feasible in the sense that the average cost of one cc runs anywhere from 300-500 USD.  Given the average volume of a breast augmentation as 300 cc/breast (total 600 cc). At an average of $400/cc that would run $240,000 for an enlargement procedure that would last about a year.

Breast Augmentation

In many instances, the plastic surgeon may be in the room at the time of measurements and then leave to allow time for the sizing process with knowledgeable and experienced staff members who are familiar with the sizing process. Although, it may appear that the surgeon is not involved in the decision making process, the staff quite commonly will discuss the appropriate sizes outside of the patient's room to confirm the choice of size or to ask for additional input or advice. If at anytime, you would prefer to review this with the surgeon, it is always an option available to you.

Breast Augmentation

Each person differs in the recommendations for post-operative instructions. In general, it truly depends on the laxity of the soft tissue envelope and the tendency for the breasts to "settle."  While firm hard implants are a common concern discussed in the literature, quite often the opposite is true and the breasts are too supple and the implants bottom out or have a tendency to spread laterally especially when lying down.  In the former situation, the surgeon may recommend long term wearing of loose bras whereas in the latter condition the use of supportive structured bras may be instituted within 3-4 weeks after surgery.  It is common to recommend implant displacement exercises (breast massage) for mobility of the implants, minimize capsular contracture and promote descent of the initially high riding implants. I am including a video discussing these exercises. www.youtube.com/watch

Breast Augmentation

Breast reduction can be completed when your growth has stabilized.  In women this is typically by 16. However, this can be effected by weight gain and loss and should not be done until your weight remains stable for around 6 months.  This has the potential to interfere with nursing and you should be aware of this.  See the following video for more details on this: www.youtube.com/watch

For milder cases without significant ptosis (sagging) you could consider liposuction. See the following video for an example of liposuction breast reduction. www.youtube.com/watch

Breast Reduction