BL/BA Done 5 Months Ago, Still Sagging & Uneven

I had a BL/BA done in May. I was uneven which was the main reason I had the surgery. I knew in advance that I would never be 100% symmetric but was hoping to be close. Doc used 210cc saline on L side & 300cc on right. They are still saggy & very uneven. I talked to my surgeon (board certified) & he agreed I need a revision. Have I bottomed out? He said he needed to revise the lift on both sides & tighten the skin on the bigger side. I thought he would take tissue to help even them out.

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sagging uneven 200-249cc 300-349cc asymmetry saline implants lift

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9 Doctor Answers | Asked by lilly123 in IL

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Asymmetry

Asymmetry issues are difficult to correct completely in many cases and it sounds like you have realistic expectations. You do have some nipple height asymmetry and the vertical distance (the amount of breast visible under your areola) is certainly more on your left than on your right. It's hard to fully asses from your photo as it's not taken in a standardized way- especially as your left shoulder is sitting lower. I think this 'vertical distance' is the... more

Asymmetry correction

Based on your photo it looks like a good result and the need for further excision is not obvious. having said that given the apparent quality from the photo I am comfortable with your surgeon's assessment and would continue to work towards your optimal result. it is very common to need a tweaking of this complex surgery, in fact many surgeons do it in 2 stages for that reason. not me. i agree with your first best effort followed by a tweak as needed. good luck

Revision of breast implant augmentation and lift

You do not have any evidence of bottoming out from your picture. Given the realtively modest size of your implants, my estimate is that your porblem is due primarily to the amount of natural breast tissue that you have. I would stick with your current surgeon and proceed with the plan. I would caution you that achieving a "perky breast" is not a realistic goal with the amount of tissue you have.

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Asymmetry after breast lift and augmentation

Some asymmetry is not uncommon after breast lift and breast augmentation surgery, and a patient's previous asymmetries may be difficult to correct completely. It is important for you and your plastic surgeon to both agree on the expected result before proceeding with any revisions.

Augmentation Mastopexy results

As you know, there is no such thing as perfect symmetry. After Breast implants and Breast lifting, there are many dynamics going on in the breast, plus gravity, so that a good result on the table in surgery, can change and be imperfect. Revisions may be required, and if there is a minor "touch-up" procedure to improve your results, it doesn't mean surgery was unsuccessful. It sounds like your doctor is willing to improve things, so I would advise following their... more

Uneven result after Breast Aug/Breast Lift

Dear Amy, BA/BL is one of the most difficult operations to perform. There are 2 operations with opposite goals. BA which enlarges the breast and BL which lifts and tightens (makes breast smaller). It is judgement that guides the operation. Sometimes asymmetries exists after surgery. In your case revision is warranted. I believe your surgeon's approach is reasonable. He will tighten the skin on the larger side and very well remove a small amount... more

Breast augmentation together with breast lift

There is not enough information in your post to answer your question. In order to assess your situation we would need to know what you looked like before surgery, what type of lift procedure was done, and where the implants were placed. It is very difficult for even the best surgeon to plan and do breast lift and augmentation procedures at the same time. Everyone is reluctant to do it as 2 separate procedures for fear of losing the patient. The problem is that the markings for the lift... more

Breast Asymmetry post augmentation

Although breast ptosis (drooping, sagging) can be slightly improved with augmentation, and asymmetry with different sized implants, occasionally the end results desired are not achieved. One cannot tell if you had any improvement from post- op pictures compared to pre-op. However, your surgeon should be able to correct this. You do state that he/she is a board certified surgeon, but by what board? It should be the American Board of Plastic surgery. You can... more

Breast asymmetry after BL/BA

From your distant photo, there are some asymmetries visible and it sounds as though your surgeon is paying attention to your concerns and will revise you to try to get to a better place. Stick with him/her as they sound like they want to help you get your best possible result.