5 Weeks Post-op Breast Augmentation - Breasts Look Different (Bottomed Out, Asymmetrical)

asked 1 year ago by victoria. in Brooklyn, NY
Latest answer by Rian Maercks, MD
Question viewed 4,547 times
Tags: nipples, asymmetry, bottom out

hi all, i had my ba surgery 5weeks ago ( 325 silicone under muscle), and not happy with results. i had a nipple assymetry before the surgery,so would not expect them to be perfect, but now they look COMPLETELY different, the left one seems to be botommed out, and is deformed every time i use the muscle, right one is ok, just different. also, they still hurt when touching, especially nipples (nipple incisicion). isthat all normal and i should just wait, or i need to consider revision?

10 answers to 5 Weeks Post-op Breast Augmentation - Breasts Look Different (Bottomed Out, Asymmetrical)

Unequal breast after an augmentation

It appears that was done was to place the implants evenly so the fullness in a bra would be even as you will be seen in a bra more often than without. In so doing, as you started out with asymmetry of the nipples and the left nipple was higher, that necessitated there to be more implant below the left nipple than the right, giving the optical illusion of a bottoming out, but it has not bottomed out. If a smaller implant had been used in order to achieve a symmetrical amount of breast tissue... more

Julio Garcia, MD
Las Vegas Plastic Surgeon

Breast asymmetry can be magnified with breast augmentation

Hi victoria, From your photo (which is taken from an angle looking up, so not the best view), it appears as though the left implant sits lower than the right. I will assume that pre-operatively, the left nipple was higher than the right. The combination of those two factors makes the overall asymmetry more noticeable. You are still early from your surgery, so things may con tine to settle (ie the right implant drops to the same level), and your symmetry would improve. The... more

Lawrence Tong, MD
Toronto Plastic Surgeon

Bottoming out can be corrected with subfascial placement

The problem is indeed that your left implant has dropped to low. This is a progressive deformity resulting from the combination of two factors : submuscular(or dual plane) placement and violation of the tight attachments at your native inframammary fold. Placing breast implants under the muscle creates a few aesthetic problems. If you look at your picture, your breasts are too far apart at midline to have a natural appearance. any time your arm moves this appearance... more

Rian Maercks, MD
Miami Plastic Surgeon

Pre Operative Measurements Needed

You certainly are asymmetric, but without seeing your pre operative photo or your measurements it is hard to tell exactly what is going on. It does appear that you have quite a bit of asymmetry before the surgery, this should have been pointed out to you before the procedure, because that asymmetry is going to still exist post imperatively and may even be magnified by the implants. You need to be patient and wait at least 3-6 months for the final results. The incisional pain... more

David Finkle, MD
Omaha Plastic Surgeon

Breast Assymetry Postop

It seems that you still have quite amount of assymetry. It is difficult to predict how much has changed without preoperative photos. I would recommend that you let everything settle for 6 months and then consider a 2nd revision procedure to further improve the symmetry.

Paul S. Gill, MD
Houston Plastic Surgeon

www.drpaulgill.com

Assymtric results after breast augmentation

Victoria~ This is actually a rather challenging case. Given the fact that you had asymmetry before your surgery, chances were high that you would have asymmetry after your surgery if adjunctive procedures were not performed. These include a possible mini-lift (on one or both sides) to adjust nipple position, use of differently size implants ( to address a difference in size, and adjustment of fold position. My recommendation is that you speak with the Plastic Surgeon... more

Gregory A. Buford, MD
Denver Plastic Surgeon

www.beautybybuford.com

Post-op breast augmentation

You pointed it out in your query that you had asymmetry. Asymmetry is normal and the folds I am sure where different to begin with, and the may be different post-op as well. As for the discomfort, it probably is normal but if you have concerns contact your surgeon.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast augmentation

Tough problem; however, it can be improved. The lower part of the breast (inframammary fold) may have been overdissected, or the implant "slipped" inferiorly. The fold can be recreated. Reconsult your plastic surgeon.

Shahin Javaheri, MD
San Francisco Plastic Surgeon

Revisionary breast surgery.

I can understand your disappointment but you may have had a very difficult asymmetry to commence with. In this situation I typically would advise pateints to wait at least 6-9 months prior to performing a revision to minimize the possiblity of operating prematurely. YOur surgeon will surely want to work with you to get an optimal result for your condition.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Give it more time then re-evaluate

Given the short time since your procedure, I would counsel some patience before doing another procedure. That said, since you did have asymmetry before the procedure, your result after surgery would be asymmetrical in all likelihood. I would wait at least a few months and then go back and have your surgeon address the concerns you have. A nipple incision makes it more difficult to define the fold.