Breast Augmentation Bottoming Out? (photo)

I am on week 5 after my breast augmentation and I measured my left crease from my belly button up and my right crease - my left is 1 inch lower. Plus it's visible. The doctor said he did a lot more dissection on my left breast. My right is actually filled 25 cc MORE than my left but my left has looked larger from the start. Very concerned about bottoming out, and the fact that they look so different. I'm putting up a pre-op photo too.

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1 month post-op bottom out

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14 Doctor Answers | Asked by CREATEUSER

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Breast Augmentation Bottoming Out?

On reviewing the pre-op photos, the right nipple and areola are lower than the left, and the skin envelopes are also rather different. Since no breast lift was done, this asymmetry is still, as expected, present in the post op photos. The other component of the asymmetry is related to the different pace of settling of the implants, which is a common occurrence Allow at least 3 months for the implants to drop before being concerned about the need for a revision procedure... more

Actually its the opposite!!!

Your left breast appears well positioned and natural. The right breast implant is "too high" probably because of tightening of the capsule postoperatively. The surgery was initially done correctly but due to the implant moving higher and the right breast being more saggy to begin with, the result is that the right breast is no longer sitting above the implant. Wearing the breast band (Bando) and massaging may help a bit but despite your best efforts, you may eventually... more

Breast implant asymmetry and bottoming out

It is important to understand that an augmentation will not correct all of the asymmetries that you had preoperatively. It is difficult to tell from the pre-op image if your right breast fold is lower or if you just have glandular ptosis (breast gland sags over fold). Either way, the areola is lower on the right pre-op and I would expect it to be lower postop, since a lift was not performed. It would be helpful to have other views (side), but in my opinion, the left breast does not... more

Breast Augmentation Bottoming Out?

Thanks for the posting of the photos. I would not say a left true "bottoming out" but more a poorly done operation with no attention to details of the pre operative breasts appearance and sizes. Revcision only choice Sorry.

Bottoming out

There is some degree of asymmetry in all breasts before and after surgery.It is not uncommon for breasts to look different early after surgery. There is a different anount of swelling in each and they dont heal at the same rate. My advice to you is to allow passage of time. The healing is not complete for around 9 months to one year after surgery.

Right implant is too high and looks smaller

Your left breast is perfect. It is not bottoming out. The right implant is at least a centimeter too high. You need to push constantly down above the right implant with a breast band. One half of the time you should have the band above both implants and the other half of the time above the right implant and UNDER the left implant but always under the armpits and low in the back. It is interesting that the illusion of size depends entirely on the distance from the nipple to the... more

Asymmetry not unusual early after surgery

Dear Createuser. Again thanks for the photos which help enormously in determining the possible problem. You are right in that there are some differences in terms of the breasts which are greater than on day nine. Healing is a slow process and different in every patient. At 5 weeks I would certainly not consider operating unless it was a true emergency. What I see now is either a high riding implant (one that didn't settle) or a capsular contracture. If the... more

Breast asymmetry after breast augmentation

Thank you for the question and for providing the photos. While it is hard to make a definitive determination without an exam the photos certainly help. When you look at your pre-op photos, there is some asymmetry of both the volume and position of your breasts. Your right nipple areolar complex and nipple, as well as the inframammary crease, is lower on the right side. Breast augmentation can sometimes magnify preexisting asymmetry or at least bring our attention to it. While it sounds... more

Asymmetry After Breast Augmentation

Thank you for the excellent photos and description of your concerns. It does appear that you have a pre-existing asymmetry in your breast fold positions that persists after the augmentation. This is to be expected unless something is done during the surgery to address this asymmetry. You correctly noticed that your left breast has more visible skin than the right side when looking from the front view. Although this is not necessarily 'bottoming-out,' it does lead to a... more

Post Operative Asymmetry

Thank you for the question and the pictures provided. If you look at your pre-operative pictures, although not as good as an in-person exam, you can see that your right nipple areolar complex and the left inframammary fold are lower to begin with. Therefore an augmentation alone will only augment, not correct, your asymmetries potentially making them more noticeable. You are still at the early stages of healing and can be seen in your latest photo your right breast implant has not quite... more