One Breast More Swollen After Breast Augmentation

I am just over 3 weeks post op breast augmentation. I received 425cc in right and 475cc in left. My left breast had to have the dual plane procedure. However, that one is way more sore than the right one. Is this normal?

Doctor Answers 16

Too early to worry!

The operations are performed as two separate procedure, and heal as such.  The will eventually feel the same, but it make take months.  Be patient!

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Asymmetry is normal

Three months is plenty of time to determine the final outcome in breast augmentation. Although there continues to be changes over the next 3 months they are very minimal. The picture you provide demonstrates a very minimal difference. But remember that you were asymmetric prior to surgery. Your surgeon did the best he could to get you closer to symmetry after augmentation. You also have to remember that augmentation enhances the breasts so your surgeon has to limit this enhancement yet try to create symmetry.

Symmetry is not normal in nature. I'm sure your result is quite good. You look great in the photo so enjoy your new breasts.

It is still too early to tell

GIven that you had some asymmetry preop, and that the implants placed are different sizes, it will take some time for everything to settle before you know your final result. I would stay in close contact with your surgeon who can examine you and reassure you as you heal and as the implants settle into their final position. At the moment, based on your photo, I do see the slight difference that you are describing, but it appears to be within the limits of normal healing, and my guess is that you will have an outstanding result once everything has healed.

Shahram Salemy, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 112 reviews

Breast Augmentation Swelling And Soreness

It is common for a patient to experience different rates of healing for each breast. Pain levels can also be different. If the soreness is quite uncomfortable, I suggest you speak to your surgeon to make sure everything is okay. The best of luck!

Not uncommon for one side to hurt more

Not too worry - it is very normal to have one side be more swollen or more painful - especially if more dissection was done on that side (i.e. dual plane procedure). Hang in there.

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 76 reviews

Uneven Swelling Following Breast Augmentation

         It’s not unusual to experience swelling in the post-operative period following breast augmentation. This swelling may occasionally result in transient asymmetry. This should improve with the passage of time.

         It appears that you had asymmetric breasts prior to surgery. This was severe enough that different procedures were performed on each side. Under these circumstances, it’s reasonable to expect improvement, but unreasonable to expect perfect symmetry.

         It’s normal to have some breast asymmetry even after breast augmentation. It’s still early, be patient and give the swelling time to resolve. Make sure you discuss your concerns with your surgeon. You may still be very satisfied with your results.

Continue to follow your post operative instructions for a normal recovery

This is a very frequent question and yes, early asymmetry is expected.  One breast can be more painful than the other.    Give it time and the implant will likely drop and you will achieve better symmetry.   Right now continue to follow your plastic surgeons advice as far as wearing a bra and massage. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 11 reviews

Breast Swelling post BBA

Dear newmommy,

Your results are expected at 3weeks post-op.  Given that you had pre-existing asymmetry, your surgeon has attempted to achieve symmetry by using different sized implants.  That doesn't mean you can expect perfect symmetry.  You should expect improved symmetry.  I tell my patients that their breasts are "sisters, not twins".


Warmest Regards,

Asif Pirani, MD, FRCS(C)

Asif Pirani, MD, FRCS(C)
Toronto Plastic Surgeon
5.0 out of 5 stars 30 reviews

The goal of surgery is to be less uneven. Asymmetry is normal

There is always more pain in one breast than the other and it is natural for you to compare.

If you think about what surgically took place, let's review. Your SMALLER left breast recieved the LARGER implant. Whereas the opposite is true with your right breast. Let's use an oversimplified analogy. IF we put a baseball in your left blue jean pocket but put a golf ball in your right cargo pants pocket, how do you think they would feel different? The left breast is naturally tighter and being stretched more than the right.

Give it time and perform breast implant displacment exercises if suggested by your surgeon.

From the looks of things, it appears that you have an excellent outcome.

ALL breasts are uneven. The goal of surgery is to make them less uneven, no one can achieve perfect symmetry. ASYMMETRY IS NORMAL.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 54 reviews

Difference in swelling and level of pain is normal


There is always a difference in swelling and always a difference in the level of pain between one breast and the other. This is particularly true if different procedures were done on each breast, like you had.

Make sure you follow up soon with your surgeon, keep him advised of your concerns, but you are still early on in the process to worry too much. Best of luck.

Francisco Canales, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 16 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.