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Asymmetrical Breast Implant Results

asked 3 years ago by tbbella110 in Chicago, IL
Latest answer by John P. Di Saia, MD
Question viewed 9,184 times

I had a breast augmentation 3 months ago, 350cc filled to 400cc (Saline) under the muscle. My right breast was larger to begin with, so my surgeon did liposuction and a Circumareolar Mastopexy on that breast.

As of right now, it is still significantly larger and higher up. Is this normal 3 months later? They are very uneven in a swimsuit and I am getting very worried because summer is coming soon. Help!

8 answers to Asymmetrical Breast Implant Results

You will probably need a revision

GIven the degree of asymmetry, you will probably need to have a revision, and at 3 months out you have a good idea of what your final result will be. I imagine your surgeon would be interested in doing everything he can to achieve the best results possible, so I would touch base with him to get his thoughts as to what can be done and the timing of the procedure. Options will likely include downsizing the tright implant, perhaps with a vertical lift (incision around the areola and one... more

Shahram Salemy, MD
Seattle Plastic Surgeon

Ask your surgeon about a touch up

From the picture, you do look asymmetrical. Technicallly, everyone is to some degree but I am sure your doctor was aiming for a closer match. There are a couple of different approaches, one being reduction and then same size implants, the other is different implant sizes. There is no single best approach.

Richard Baxter, MD
Seattle Plastic Surgeon

Pre-operative Picture?

Hello, Without looking at your appearance before surgery, I have a hard time faulting your surgeon. It looks like you had a simple breast augmentation with a minor lift. This does not let the surgeon change much regarding breast shape except with implant volume and that minor lift. Minor lifts change breast shape in a minor way. Some issues cannot be solved with less than a larger lift procedure. Breast lifts do not just "lift." They allow larger changes in breast shape. Talk... more

John P. Di Saia, MD
Orange Plastic Surgeon

You are very asymmetrical

I would imagine that your surgeon isn't totally thrilled with your result and would probably be interested in doing more to get to a better outcome. This could come from reducing the implant size on the left or reducing the breast itself. I'd suggest going back for an honest discussion.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Time will not fix asymmetrical breast augmentation results

If 3 months have already passed, I would not expect this asymmetry to improve. There are different options to fix this. It would depend on what your breasts look like before surgery. I would also be curious to know if the same implant and fill volumes were used in each breast. I would suggest returning to your surgeon at this point and expressing your concerns.

Jeremy Waldman, MD
Manchester Plastic Surgeon

My opinion:

The good news is that each breast looks nice by itself, but you are correct, you have a large degree of asymmetry. I am not exactly sure of all of what was done. For example, was an implant placed in the left? No matter. One thing I can tell you at 3 months out is that you have a pretty good idea of what the final result will look like. I feel confident (though sad to tell you) that you will require another procedure to correct the assymetry. From what I can see from the one view,... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

There may be more than 50 cc difference

Hello I think at 3 months you are seeing your final volumes. The right is clearly larger. I am assuming you like the size of the left breast better, in which case I think you need to have less volume on the right. How much volume is best determined at the time of surgery, but you may actually need a completely new, smaller implant. If your initial implants were the same size, there may not be enough room to remove saline without voiding the manufacturer's warranty for underfilling the... more

Francisco Canales, MD
Santa Rosa Plastic Surgeon

I would recommend a smaller implant in your right breast.

Hi! Actually, your result does not look bad, but the asymmetry clearly bothers you, and it is not going to go away. So you need a touch up. Rather than trying more of a reduction, I would suggest an implant maybe 50 cc's smaller on the right. Your surgeon can use a disposable implant SIZER in you right breast during surgery to determine exactly which implant will give you good symmetry BEFORE opening a permanent implant. This takes the guess work out, and a sizer only costs $45.... more

George J. Beraka, MD
Manhattan Plastic Surgeon

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