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Breast Augmentation Asymmetry After 6 Weeks. Will It Get Better Or Will I Need Surgery to Correct It?

asked 8 months ago by donnysh2o in Elizabeth, NJ
Latest answer by Kevin Brenner, MD
Question viewed 780 times
Tags: asymmetry, silicone implant, under muscle, 6 weeks post-op

I had silicone implants place under the muscle 6 weeks ago. I had 325cc on both breast. My breast are still swollen, I know, but my right breast is bigger and lower than my left. Will my breast stay like this? Because right now the difference is way noticeable. I am scared that I might need another surgery to correct this. In my pre-op visits my surgeon did tell me that my right breast was bigger than my left but I never though it was gonna be this noticeable after surgery.

14 answers to Breast Augmentation Asymmetry After 6 Weeks. Will It Get Better Or Will I Need Surgery to Correct It?

Significant asymmetries require surgical revision

Minor asymmetries are common following breast augmentation. However, there is nothing minor about the asymmetry shown in your photo. You likely have either a hematoma or seroma causing this. Unfortunately, six weeks after surgery is a very bad time to re-operatie on a breast unless it is absolutely necessary. You will likely need a revision, but will need to wait for the scar tissue to mature and soften.

Kevin Brenner, MD
Los Angeles Plastic Surgeon

Breast assymmetry

Hello, Although some breast assymetry is always present significant assymetry can and should be addressed. There are a number of possibilities causing your left breast to be larger including: 1) Hematoma 2) Seroma 3) Bigger implant 4) Bigger breast preoperatively Your before photos and your examination should help differentiate these and help you and your plastic surgeon plan out the next step. All the best, Dr Repta

Remus Repta, MD
Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

Significant breast asymmetries present

There are clearly significant differences between the left and right breast in size and position. Without having preoperative photos to assess, it is impossible to provide you with entirely accurate information such as how much of this is related to pre-existing asymmetries and could have different decisions been made for the procedure such as involving different implant sizes. Furthermore, you did not state if the difference in size has increased significantly since surgery. This latter... more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Breast Augmentation Asymmetry After 6 Weeks. Will It Get Better Or Will I Need Surgery to Correct It?

Thanks for the posted photos and ALL the expert posters agree on an asymmetry. the cause can not be determined by only the posted photos. You need second opinions and revision surgery Sorry.

Darryl J. Blinski, MD
Miami Plastic Surgeon

For whatever reason, you do not have an acceptable breast augmentation result.

Hi. 1) You might have a hematoma in the larger breast.. You need a sonogram to make sure that is not the cause. 2) Otherwise, I am afraid you should wait another three months and then have a revision. You need different size implants in each breast and one implant pocket needs to be brought down. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast asymmetry after augmentation

Based on your pictures you do have significant asymmetry present at this time. However, it is only 6 weeks since your surgery and further changes in the breasts are to be expected over the course of the next few months. If it does turn out that a benign uninfected fluid collection is present around the implant then conservative treatment (allowing the fluid to reabsorb) may be indicated. Continue close follow-up with your plastic surgeon. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Breast asymmetry

You do have significant asymmetry. i agree with alot of the docs above who are all worried about fluid collection. see your surgeon good luck

Jonathan Saunders, MD
Newark Plastic Surgeon

Answer to RealSelf.com Breast asymmetry question

Without seeing your preoperative photographs it is difficult to be absolutely confident, but I am quite concerned that you have a hematoma or seroma on the larger side. With such a considerable discrepancy at 6 weeks post op, I would not expect you to achieve acceptable symmetry in the future. Please make an appointment with your surgeon soon to discuss your concerns. Best of luck.

Eric T. Emerson, MD
Charlotte Plastic Surgeon

www.seplasticsurgery.com

Severe breast asymetry after breast augmentation

Breast augmentation cannot correct all breast asymmetry, and minor asymmetries always persist. Your picture is alarming however and the right breast is frankly huge. Something is amiss, a hematoma, poor implant selection, and if your surgeon is not concerned you best seek a second opinion. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Postop breast augmentation asymmetry

You really do have a significant asymmetry but we don't have enough info to give you a great answer. Preop photos and the size of implants would cetainly have helped. You might have fluid around the right implant and it is too low compared to the left. Rather than asking online what to do, you should get right back to your doctor this week to be examined.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Obvious Difference

The breast on the left in the photo is obviously larger than the right. Possibilities include a collection of blood or fluid that may need to be evacuated. I doubt that the difference now is due to soft tissue swelling alone. If you do not have a fluid collection, then follow-up over the next 2-3 months will determine the need for revisional surgery. Discuss your concerns with your surgeon.

Brian Klink, MD
Sacramento Plastic Surgeon

Breast asymmetry after augmentation

One breast is definitely larger than the other. You need to see your surgeon to rule out the possibility of a blood/fluid collection which may need to be drained. It is difficult to explain this degree of asymmetry by any pre-existing asymmetry of the breasts.

Anindya Lahiri, MBBS
Birmingham Plastic Surgeon

Asymmetry after BA

I don't know how different your breasts were before surgery so it'a a little hard to know for sure. Your one breast is obviously larger than the other to the point where I would be a bit concerned that you either had a hematoma, or now have a seroma. If it's a seroma you could get a breast ultrasound to be sure.

Ronald Schuster, MD
Baltimore Plastic Surgeon

Hard to tell

At this point it is hard to tell. Unless you took the picture you posted in the mirror, it looks like your left breast is bigger and the implant is lower on that side. I assume that you have discussed this difference with your surgeon and they have determined that there is not a hematoma (collection of blood) or a seroma (collection of fluid) that would explain the larger size on one side. If this is true, I would suggest that you try to avoid becoming too concerned about... more