Your implants will settle

Kenneth R. Francis, MD answers: Will my asymmetric breasts from Breast Implants even out eventually?

I recently had silicone breast implants about 7 weeks ago. I have the left breast which is fuller more side cleavage and the nipple is higher than on the right side its not as full and the nipple is much lower.

The right breast had problem closing the incision which was in the nipple. Will it even out? I also have rippling underneath the right breast but only when I bend forward. Thanks!


Kenneth R. Francis, MD
9 months ago

Bmoral,

There are some asymmetries visible in your photo. First, I would return to your surgeon and ask to see your pre-surgery photos. Some of the asymmetries may have been pre-existent. That is not to say they are not correctable. Wait another 4 months for the tissues to relax and the implants to settle. You may be happy with your result at that time.  Good luck!

A: Asymmetry may have existed before augmentation

Barry H. Dolich, MD
9 months ago

Discuss your concerns with your surgeon. It is almost certain that the asymmetry existed prior to surgery, only on a smaller and less visible scale and should be visible on your pre op photos. In a real sense, what you BRING into the o.r. is what you GET BACK--only larger.

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A: Unfortunately, some asymmetry will be permanent.

George J. Beraka, MD
9 months ago

To bmoral85,

Hi!  Your breasts don't look bad, and you should certainly not do anything for 6 months.  But then, I think you will have to choose between accepting some asymmetry or having a revision.

It looks like you will need :

1)  closing the left implant pocket on the outside so the implant doesn't hit your arm

2)  lowering the fold under the right breast slightly

3)   using a slightly smaller implant on the left ( or a slightly larger one on the right)

4)   I cannot tell from the picture whether anything needs to be done to the nipple scars

Your right nipple may have been lower before surgery.

If you have rippling, you may have moderate profile implants.  These are really underfilled, and can cause rippling.  I recommend Mentor Moderate PLUS profile or high profile implants.

A: Don't rush into any revisions.

David Shafer, MD
9 months ago

bmoral85,

It is hard to comment on your results without seeing your before pictures as well. However, your right implant looks like it is riding higher than the left. The results in less volume filling the lower portion of the right breast, so when you lean forward, you are experiencing rippling. Also, the diameter of the implants used look like they are too wide for your body type. I agree that you may benefit from a moderate profile plus or high profile implant if you want the same volume but smaller diameter. Don't rush into any revision surgery. You may end up making things worse. Wait for the tissues to completely settle and the swelling to completely resolve before making any revisions. This could take 6 months to a year. Good luck.

A: Implant changes

Steven Wallach, MD
7 months ago

It would be interesting to see your pre-op photos, but more than likely you have asymmetry.  The implants will settle with time and you have to be a bit patient. This process can take several months.  Also in terms of rippling in the lower pole, this is can happen when you do not have a lot of soft tissue coverage. Most implants can be palpated there because if they were placed in a submuscular pocket the muscle would  have been detached at that spot.  Definitely review your concerns with your surgeon.

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