Thanks so much for writing and asking. I'm sorry you aren't happy. As a surgeon, we lose sleep over that sort of thing too.
It also sounds like you have expressed that to your surgeon. It may be that what can be done to create that shape has been done but that your natural breast tissue is too much to create a really round shape.
I don't want to overstate what I am capable over the internet and I know it can be frustrating to not have what you desired to have. It's probably worth another conversation with your surgeon once you get past 9-12 months out. Things really do change over time, and more often than not, for the better.
If, at that time, you still find yourself wishing for and wondering what else can be done, if you and your surgeon don't see eye to eye, it may be worth getting a second in person opinion.
Have a great day, and thanks for being a part of Bustmob,