Disppointed After Exchange- Allergan 410

I think you need a second opinion from another PS. You do not need a lot of fat usually for grafting, they do grafting even from very thin women, and there are many ways to create reconstructed nipples if that is important to you, like by removing skin from elsewhere. Also, if he is not confident he can give you a good result with rounds, I would not want him to do a swap to rounds...go to someone else. 

I have smooth silicone rounds. My PS is opposite of yours in that he prefers rounds for most reconstructions though he has been using anatomicals for years for both recon and augmentation (we are in Canada so they have been available for a while). I have not had fat grafting. I can see one very slight dent/ripple on outside of one breast depending on how I move my arms or lean over (when not in a bra), and after wearing certain bras it is more visible for a bit (it goes away after the bra is off for a while), but I am very happy with the shape, size, feel, movement, projection, and that ripple, that is usually not visible, does not bother me to point I even really want to do a new surgery to do anything about it though I am sure grafting would hide it quite well.  I think it is there as that breast that was a bit larger to start with and the skin/pocket was a bit more loose (I went nipple sparing direct to implant). I know (and have seen the results) of some other members who had some rippling and fat grafting or other revision with great results. 

I do think good results can be found with either rounds or anatomicals, but your PS ought to have listened to YOUR preferences for appearance here, I have seen some great anatomicals on women here, but it is not a look I preferred for myself either. I never had augmentation, but I did in my younger years have much fuller and rounder breasts, which took on the look closer to anatomicals in last handful of years and did not like that look as much.

If you have not done so, please go to BREAST IMPLANT SIZING 101, and give Whippetmom the requested info in the header for her input as to what rounds, if any, would work best for you. She may need you to send her some pictures. A big factor in reducing rippling is choosing right implant and size for the pocket. You will need to wait a few months before a revision though, I imagine, and may or may not need pocket work.

A second opinion does not mean you NEED to go with them or not go back to your first PS, but it just might help you hear a second perspective

Don't regret what is done, you certainly are not alone or wrong for trusting your PS, and you having a different desired cosmetic outcome does not mean he isn't a nice guy, or a talented surgeon, just maybe not the right fit for you (or maybe he is, but I still worry he feels he can't get a good result with rounds!).

I hope you can get access to the picture forum. I do think seeing photos of other women going through this is beneficial for many ways: it helps with realistic expectations of what one can expect after reconstruction (both positives and negatives), it helps one know they are not alone, and it shows that every journey IS unique as there are success stories AND success stories AFTER complications or dissatisfaction. 

Don't be shy about whippetmom (Deborah) either, she is great and you can actually PM here if you are not comfortable putting the details on the thread itself.

Sientra promotes upper pole fullness in their round implant.  Could be just what you are looking for.. 

Whippetmom will know what will give you the results you are looking for.  Good Luck!

I should have read a little further before posting my new topic.  I have full height moderate projection allergen 410 implants.  I think they are 600cc.  I don't remember exact cc's.  I have grade III capsular contracture and the front of the implants are completely flat.  I cannot fill out a bra correctly at all.  I went to a store that provides service for post mastectomy patients and they fitted me with prosthesis and bras.  The prosthesis are for patients who have had lumpectomies or for patients like me who have problems with the reconstruction.   I am very thankful for them because with the implants alone, due to the contracture, my clothes did not fit properly and it was very noticeable that the breasts were different sizes and one was higher.   I am so disappointed in my reconstruction surgery.  I have opted to not follow through with the nipple reconstruction because of the poor outcome.