Asymmetry Still Present After Breast Augmentation

I had breast augmentation to fix asymmetric breasts. I asked my surgeon if I should have breast reduction first since the right breast is over a cup size bigger, but she assured me that this wasn't necessary. I ended up with smooth saline implants, 400 cc on the left and 280 cc on the right. I am 4 weeks post-op, and I still feel like the right is fuller, especially at the bottom where it's already fuller to begin with. It sags more.

Was this the right decision to fix the problem? The doctor said I might want a breast lift on the right breast to make them more even, but how can they look even when the other breast will have a lot of scars? What can I do if it's still uneven after a year? Help!

Read my review "Had BA to Correct Assymetry"

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5 Doctor Answers | Asked by 400AND280 in KENNER, LA

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Persistent breast asymmetry after augmentation with implants; use of liposuction

SEE VIDEO FOR MANAGEMENT OF BREAST ASYMMETRY: In some instances, mild amounts of breast asymmetry can be managed with suction assisted lipectomy (liposuciton) This can be achieved with relatively little scarring. There is a potential for implant rupture but it should be realtively low if perfomed by an experienced surgeon. I would advise that you wait 6-9 months to allow for normal settling from surgical changes. The video below shows some examples of asymmetry treated with liposuction... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

There is no perfect option

The surgery to have really depends on what you are trying to achieve. If you liked the size of the larger breast then maybe an augmentation of the smaller breast is all that is required but the will "always be sisters, not twins" as my office staff says. You may decide after a year if it bothers you enough to have the breast lift on the side you percieve as larger or fuller. I would recommend that you continue your follow-up with your plastic surgeron and allow at least a year... more

Be patient after breast augmentation, two surgeries often necessary

First of all, it is very important for all patients to know that EVERYONE has some degree of breast asymmetry. Sometimes, it may not be apparent to the patient, but often careful analysis and counseling by the plastic surgeon can help educate the patients about breast asymmetry. It is important to go over this and discuss this PRIOR to surgery. Other patients have more significant assymmetry that is very noticeable and can be very debilitating to patients. I literally just had a patient in... more

A complex issue

As Dr. Yuan nicely stated, breast asymmetry is more normal than is perfect symmetry. I find that it is rare to be able to correct a significant asymmerty with differential implants alone. The problem is that significant asymmetries are usually partly volume plus drooping on the larger side. The best treatment is to use the same implants so the platforms are equal and make the breast tissues match as best as possible. Sometimes that involves a lift on only one side and this adds a new... more

Analysis of breast asymmetry

Most women, if not all, have breast asymmetry to varying degrees. Most are noticeable but not disagreeable. If you had surgery specifically to address this problem, a careful analysis is important. Often, you must expect some residual asymmetry. The final treatment depends of many factors including the tolerance for certain post-op asymmetries and risks and the need to manipulate the breast shape, form, or size. Asymmetry comes in many varieties and in many dimensions. The most rationale... more