Switching Plastic Surgeons Midway through Two-Step Recon.

I think above all it's important that you are comfortable with your PS, and it sounds like you aren't.  In my case, I also have a well known, board certified PS who is known for doing great work.  He was recommended by my BS.   I met with him not really knowing what I wanted - it was the least of my worries at the time.  I told him approximately what I wanted to do as far as size and he recommended anatomical silicone implants.  He said they were a lot more natural looking. 

Shortly before my exchange, he was measuring me for the implants and getting kind of aggravated because all the anatomicals were very wide.  Too wide, he thought, for my chest.  We ended up going with rounds instead.  I am so happy the anatomicals were too wide.  I am not a fan of the shape or the fullness of the upper part of them.  I think that on me, that would look ridiculous.  The rounds much more closely match what I had before as far as shape and projection - quite a bit bigger, but that's what I asked for.  If I want the upper fullness, I can get that with a push up bra.   I guess where I am going with this is that I had a lot of confidence in his vision for me and his ability to see it through.  I felt like he was the one who went to medical school, and unless something really didn't sit right or make sense to me, I was going to defer to his judgment.   I went into this not knowing much (if anything really) about reconstruction.  I've learned a bit since, mostly from hanging around here, and if I could do it over I might ask some additional questions to get clarification about why things were done a certain way, but I don't think I would change anything.

If you aren't comfortable with what your PS is telling you, try a second opinion with someone else, just to hear their thoughts.  You don't have to tell the original guy you are doing this unless you decide to switch.  I'm sure the insurance company can deal with switching the surgeon, if needed.  You have some time - the TEs can stay in as long as it takes to get to the point where you feel good about the direction you're headed in.  If you haven't already checked out the thread Breast Implant Sizing 101, do so.  Whippetmom is the expert on all things implant related and could probably give you some very good information.

I also switched PS after my fills and am having another do the actual implant surgery.  I was not comfortable with the old PS because of his practice of going into the OR with only one size implant.  He does not use sizers.  He just told me to pick which size I wanted and that would be what he would use!  I went to another PS in town and found myself "selling" my case to her.  She really did not want to take me away from another doc.  I had to assure her that I had had several discussions with him about my concerns etc. etc. I finally got her to take me as a patient but not without a hard sell on my part.