Breast Augmentation Q&A
92%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
774 Reviews
Breast Augmentationbefore & after photos
View Before and Afters

Average Breast Augmentation Cost: $6,200

Learn about Breast Augmentation

3,418 people and 890 doctors are talking about Breast Augmentation

Get Free Email Updates

Is There Anything That Can Be Done for my Asymmetrical Implants?

asked 1 year ago by calabria79 in Palm Beach Gardens, FL
Latest answer by Robert L. Kraft, MD
Question viewed 4,544 times
Tags: asymmetry

I had a BA 1 wk ago. I had asymmetry preop. My PS didn't want to use 2 diff. cc amounts because he felt it would only create uneven upper pole fullness. So now I just have a magnified version of before. My upper chest is symmetrical and looks good. The right hangs lower, is fuller and projects more but the nipples are even. What can be done to fix my asymmetry,if anything? Thanks!

27 answers to Is There Anything That Can Be Done for my Asymmetrical Implants?

+3

Asymmetry after breast augmentation

Hello and thank you for the question. Given your pre-operative pictures, your results looks quite good at a week out, although I question whether or not you would have benefitted from a concomitant Benelli mastopexy, at minimum. This in itself would have corrected at least a fair amount of the perceived asymmetry. Having said that, I would give it 6-8 months to allow your breasts to settle and then re-evaluate your status with your surgeon.  Best, Glenn Vallecillos, M.D.... more
Glenn Vallecillos, MD

Beverly Hills Plastic Surgeon

www.BeverlyHillsCosmeticSurgeon.com

+3

Breast asymmetry after breast augment

Based on your pre and post op photos I would say that you have an acceptable result. It may not be the result that you were hoping for, but this is not a complication of the surgery, it is a problem with adequate communication between you and the surgeon before surgery. An augment alone is not going to correct asymmetry in nipple position, nor will it completely correct asymmetry in breast size and shape. These are issues that should have been explored in detail pre op.
Mark Preston, MD

Columbus Plastic Surgeon
+3

Breast augmentation asymmetry

Breast augmentation without lifts produces a magnified version of what you had before the surgery, this is true. Your plastic surgeon has wisely advised you that placing a larger implant on one side will not compensate for asymmetries in nipple height, and will introduce its own problems such as differences in the upper pole. As every other commentator has noted, you should be pleased with your result.
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+3

Breast Assymetry and Augmentation

Do nothing for 6 months at least.  You actually look quite good and you surgeon made a reasonable decision possible.  Augmentation does not increase assymmetry, it decreases it if you consider volume.   If the difference is 50cc to start and you add 500 to each side then the 50 cc is a smaller % of total and therefore possibly less significant.  It will take time to tell.  Ideally you should wiat a year but 6 months may do?    Good Luck. more
George Commons, MD

Palo Alto Plastic Surgeon
+2

Breast Asymmetry

Looking at your pictures, I think that you have a very acceptable result. You are only one week post-op so it is a little early to make any final decisions. The asymmetry looks like it was improved with the breast augmentation. There are always minor differences as one side of our bodies is bigger than the other. Overall, I think you have achieved a very nice result.
Leo Lapuerta, MD

Houston Plastic Surgeon
+2

Asymmetry Before Implants and Asymmetry After Implants

I will start out by saying that based on your preoperative pictures, your results at one week are very good. You had obvious asymmetry preoperatively and to get the result you have at one week is in my opinion beyond acceptable. That being said, just as surgical successes shouldn't be based on early photos, neither should any perceived shortcomings. I recommend you wait at least 6 months before addressing whether anything needs to be done with the breasts. Hope that helps and... more
Babak Dadvand, MD

Los Angeles Plastic Surgeon
+2

Re: Is There Anything That Can Be Done for my Asymmetrical Implants?

A week is a bit early to determine how the breasts will adjust. Allow at least 12 weeks for the breasts to settle and to give you and a board-certified surgeon a better idea of the final outcome of the augmentation.
Sam Speron, MD

Chicago Plastic Surgeon
+2

Breast augmentation will "magnify" pre-existing assymetry

Hi Calabria79, I would have suggested you have a breast lift at the same time.  Perhaps this was discussed.  Some patients prefer not to have a breast lift because of the scar and this is undertstandable.  The reasons to have a lift are twofold:  number one you a lift and number two it would help address the nipple position asymmetry.  Keep in mind that any breast asymmetry you have prior to breast augmentation will be magnified after breast augmentation.... more
Tracy Pfeifer, MD

Manhattan Plastic Surgeon

drpfeifer.com

+2

Breast Implant and Asymmetry

As you know, breast asymmetry is normal in most women before and even after surgery. However, your outcome could have been improved by the addition of breast lift (Mastopexy). Breast lift can still be performed after breast implant. A lot of patients will chose not to add breast lift during augmentation due to the additional cost. Since your surgery was just 1 week ago, I would recommend waiting for the implants to settle down before making any decision.
Stanley Okoro, MD

Atlanta Plastic Surgeon

www.georgiaplastic.com

+2

Breast Augmentation will NOT Lift sagging breasts

Regarding: "Is There Anything That Can Be Done for my Asymmetrical Implants? I had a BA 1 wk ago. I had asymmetry preop. My PS didn't want to use 2 diff. cc amounts because he felt it would only create uneven upper pole fullness. So now I just have a magnified version of before. My upper chest is symmetrical and looks good. The right hangs lower, is fuller and projects more but the nipples are even. What can be done to fix my asymmetry,if anything? Thanks!" Sometimes... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+2

Is There Anything That Can Be Done for my Asymmetrical Implants?

It looks like you needed a breast lift along with the implant placement.  That would allow for correction of the asymmetry.  The down side is that it Will place added scars on the breast.  All is not lost as the lift can be done as a second stage.
Robert D. Goldstein, MD

Bronx Plastic Surgeon
+2

Asymmetry

I personally would not have done a breast augmentation alone for you-I would have offered you a minimal incision lift (periareolar mastopexy augmentation) in order to correct the differences in your nipple position. I am afraid you were just given bad advice. I would wait at least 6 months after your surgery and then find someone who can perform this for you. If you desired really perky full breasts, then a full lift may be your only option.
Thomas B. Lintner, MD

Atlanta Plastic Surgeon
+2

Asymmetric breasts after breast augmentation

I agree that given the asymmetry you presented with and being only 1 week out from surgery your result so far is quite good. You cannot get absolute symmetry after any type of surgery if it did not exist before that surgery. More is the enemy of better and I strongly suggest you leave well enough alone. Once you have breast augmentation you automatically sign up for more surgery down the road. You want this road to be very long so that the time between operations is a number of years,... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+2

Asymmetric breast augmentation

Once you have asymmetry, you need to accept certain asymmetries post-op. You cannot be"perfect.". If you like the size and shape, accept the asymmetry. I suspect that your implants are high relative to yuor breast tissue and nipples but if that doesn't  bother you, then don't do anything. At some point, i suspect your breast tissues will look lower and begin to "fall off" the implants. At that point you will need to explore the risks and benefits of a formal... more
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon
+2

Accept improvement in asymmetry after breast augmentation

Based on your pictures, the result is a much improved appearance. Most women don't have symmetry to start so it may not be realistic to expect symmetry after surgery. You may be better off accepting the great results you have.
Karol A. Gutowski, MD

Chicago Plastic Surgeon
+2

PHOTOS: Is There Anything That Can Be Done for my Asymmetrical Implants?

My adivice is to leave well enough alone. Howver if you are looking for suggestions, the use of liposuction on the right could achieve your goals but is not without risk 
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+2

Asymmetric Breasts, from San Diego

For one week after surgery, you appear to have an excellent result, and your symmetry is improved over your pre-surgical appearance.  Plastic surgery is about improvement, NOT perfection.  You look nice, stop obsessing about it, let them heal, and enjoy them!
Steve Laverson, MD

San Diego Plastic Surgeon
+2

Breast asymmetry

All breast are asymmetric as you can see from your pre-ops. You probably needed a breast lift as well.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Fixing breast asymmetry - implants or lifts

Your implants look very symmetrical.  The problem is that you needed lifts and your right side needed one more than the left in order to get the symmetry you wanted.  From your stsrting photo there was no way that just implants alone would give you symmetry. 
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+2

Implants for Breast Asymmetry

I think that you have a very nice result and you should not make any long term decisions when only 1 week post op.  You need to leave things at least 3 months to settle.  I do not think that your asymmetry is magnified, in fact, I think that it is improved.  If you make the breasts larger, then the asymmetry is often less noticeable because the difference in volume between the breasts is proportionately less.  Looking at the preoperative photograph, I would have said that... more
Jonathan J Staiano, MBBS

Birmingham Plastic Surgeon
+1

Asymmetry after augmentation

You have only had one week of healing time but it appears that your plastic surgeon did a good job of balancing the nipple heights. He may have used the same size for both breasts and inflated them differentially. I think that your result is acceptable and a measured improvement over your preoperative appearance.
Robert L. Kraft, MD

New York Plastic Surgeon
+1

Asymmetry

It's interesting how many patients are submitting photos with this same issue. You are also, in my opinion, a patient who should have either had a breast lift with augmentation, or implants placed over the muscle. When implants are placed under the muscle, they can't be placed 'too low' for fear of a double bubble or other lower pole deformity. Your breasts are starting off low and something needs to be done to change the position of the bulk of your natural... more
Scott E. Newman, MD

New York Plastic Surgeon

www.psurgery.com

+1

Asymmetry correction

Based on your preop photos your asymmetry was within normal and I agree with your surgeon that compounding the problem with asymmetric implants was unnecessary. If you are otherwise happy, then leave it be. other options preop would be a mastopexy with smaller implants but then you trade better symmetry/size/shape for scars. I think you did well in your choice and I expect you will be happier as time goes by. good luck.
Rafael C. Cabrera, MD

Boca Raton Plastic Surgeon
+1

One week too early to judge post op asymmetry with breast implants

If you had pre-op asymmetry then there will be some after if the implants are the same size. However, one week is early so be patient.
Richard Baxter, MD

Seattle Plastic Surgeon
+1

The results are acceptable compare to the before pictures

You had mild ptosis and you have the maximum benefit from implants. The next step would be breast Lift and you need to consider the scars and possible other complications. You just leave them as is for now.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Breasts are asymmetric. Help!

Breasts don't start out symmetric. There are two basic issues with symmetry:shape and size. Shape is a broad term. It includes nipple position, width, droopiness, position on your chest, level of your fold, skin laxity. Frequently when asymmetric going larger can accentuate the asymmetry. There are tricks we do to minimize the asymmetry, but it is unlikely to correct. You can never evaluate asymmetry immediately after surgery, as we do not heal symmetrically. If you had gel implants,... more
Lauren Greenberg, MD

Palo Alto Plastic Surgeon
+1

Is There Anything That Can Be Done for my Asymmetrical Implants?

Have a real PS re operate this time. Your other surgeon made no surgery sense! DSame sizes on differing volume of breasts, GET REAL. Bad diagnosis, bad surgery, bad result. Sorry. From MIAMI Dr. DaRRYL J. BLINSKI - I would be happy to see you in my office to correct. 
Darryl J. Blinski, MD

Miami Plastic Surgeon

Ask a question