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I Had BA 4 Months Ago with 400cc High Profile Silicone Smooth Implants, And They're Uneven and Cause Pain. Cause? (photo)

asked 4 months ago by carlyanne in Virginia Beach, VA
Latest answer by David Bogue, MD
Question viewed 540 times
Tags: 4 months post-op, causes, pain, saline to silicone, uneven

I Had Breast Augmentation 4 Months Ago with 400cc High Profile Silicone Smooth Implants and they look very uneven and the left breast looks much bigger than the right. This was my third augmentation in 13 years. This is the first time with silicone. I had saline implants previously and had a left deflation after 7 years. They all have been placed under the muscle. I am also having intermittent pain in the left breast as well. Can anyone tell me what happened that has caused this mishape? I don't know if they migrated out of the pocket or what.

12 answers to I Had BA 4 Months Ago with 400cc High Profile Silicone Smooth Implants, And They're Uneven and Cause Pain. Cause? (photo)

+2

Augmentation asymmetry and fold discrepancy.

Thank you for your question. The implants are certainly in different positions on your chest wall. This can represent one of several situations: Your folds were uneven to begin with The left breast fold has lowered or "bottomed out" The right breast implant is sitting too high or has a capsular contracture A combination of the above issues To determine which of the above issues has occurred, preoperative photos are necessary as well as an exam. The... more
David Bogue, MD

Boca Raton Plastic Surgeon
+2

I Had BA 4 Months Ago with 400cc High Profile Silicone Smooth Implants, And They're Uneven and Cause Pain. Cause? (photo)

Thanks for the posted photos. Very hard to determine the reason of the distortion. Before photo might help. Best to obtain in person second opinions.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+2

Breast asymmetry

Most likely, the saline implants were filled differently to balance the two breasts, but placing the same size silicone implants "unroofed" the asymemtry. You probaably will need a larger implant on the smaller side when things settle down. Of ocurse an exam is key to evaluate the two breasts.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Asymmetry after BA

My guess is that you always had some significant asymmetry. The problem could be worse because it was not realized before surgery. Your saline implants could have been filled to different volumes that the new surgeon did not know about. Because the same size gel implants were used it uncovered your underlying asymmetry. Of course all of this assumes that you used a different surgeon. If it was the same surgeon, and you were more even before surgery, than it has to be a technique issue,... more
Ronald Schuster, MD

Baltimore Plastic Surgeon
+2

Post-op Asymmetry

As everyone has told you, pictures are helpful but don't replace an in-person exam. Based on the photos, you right breast looks fine and if it feels soft then that is the good one. Your left breast, as you know is much bigger and the skin of the lower breast appears to be stretched beyond normal. If your breast were close to the same size before your surgery, I can only think of two causes: either the left side has a bigger implant or there is a fluid collection (seroma) surrounding the... more
Joseph Fata, M.D.

Indianapolis Plastic Surgeon

www.breastsurgeryindianapolis.com

+2

Breast Augmentation Beverly Hills

It looks like you have some level of capsular contracture to the right breast. Does the right breast feel stiffer than the left? Usually the breast that is lower will appear larger than the breast that is higher. The pocket is wherever the implant sits. Saying the implant has migrated out of the pocket doesn't really make sense. But pockets can shift in their location. Your pocket on the right side is higher and would need to be lowered and possibly the left side elevated a little for... more
David E. Kim, MD

Beverly Hills Plastic Surgeon
+2

Asymmetric breast implant revision

We can clearly see the fullness on one side. The pockets are uneven and it is hard to know why things are the way they are without knowing how it all started out. If the breasts were even before revision we can suspect things like a seroma or bleeding, which can explain the tenderness. Nothing migrated, and without more information your surgeon will have a better idea of what has gone on. Best of luck, peterejohnsonmd.com
Peter E. Johnson, MD

Chicago Plastic Surgeon

www.peterejohnsonmd.com

+2

You may have capsular contracture

The pictures are helpful but does not replace consultation. I would suggest going back to your surgeon for further evaluation. You may have capsular contracture and bottoming out of the left implant.The original pictures before augmentation would have been helpful to evaluate for asymmetry.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+2

Hard to know exactly

Were the implants more symmetric immediately after surgery? or has the asymmetry persisted since surgery. were the same size implants used? for one, you have some nipple asymmetry which is just a part of you which has persisted after surgery. It is possible that you have a capsular contracture which has elevated your right implant. i suggest you return to your surgeon for consultation or see another board certified plastic surgeon if you are not happy going back. more
Eric Chang, MD

Baltimore Plastic Surgeon

www.columbiaaesthetic.com

+2

Breast Asymmetry and Pain after Breast Augmentation?

Thank you for the question and picture. It is very difficult to give you good advice without direct examination. Examination would be necessary to make an accurate diagnosis and develop a treatment plan. Assuming your surgeon is a well experienced board-certified plastic surgeon he/she is in the best position to do so. Based on your picture however, the significant breast asymmetry you describe is visible. Your symptoms may be related to implant displacement... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+2

Pain post breast augmentation

It is difficult to determine the cause of your pain and asymmetry solely from the pictures you provided. It is possible at this stage, four months postoperatively, that you have developed a seroma (fluid collection) around the left implant making the left breast appear larger or you may have developed capsular contracture (hardening) of the implant(s) that has caused your reports shape changes. In either case, you should see your board certified plastic surgeon to evaluate you and discuss... more
Todd C. Case, MD

Tucson Plastic Surgeon
+1

Concern about breast asymmetries

It is impossible to precisely explain to you the specific cause of your asymmetries given one photo, no history and no previous photos and, of course, no physical examination. There could be several causes for this including such possibilities as pre-existing differences in breast size, shape and position; previous disruption or alteration of the anatomy and lack of adjustment; etc. You should discuss your concerns with your surgeon. Consideration should also be given for seeking other... more
Steven Turkeltaub, MD

Scottsdale Plastic Surgeon

www.turkeltaub.com

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