One Breast More Swollen After Breast Augmentation
- Asked by newmommy in Atlanta, GA
- 4 years ago
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?
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.
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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.
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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".
Asif Pirani, MD, FRCS(C)
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.
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.
Two different-sized breast implants often look asymmetrical
Since the left breast implant is bigger, it is making the left breast look fuller. In time, the skin of the left breast will stretch to accomodate the larger breast implant and hopefully, will look more symetrical. Wait 3 months for this to occur.
Be sure to address your concerns with your doctor.
Using two different-sized breast implants to compensate for a breast asymmetry is often difficult.
This is because the different implants have a different base width and projection. You will always be able to feel the difference if you look closely.
However, once the breast tissues have adjusted you should feel much better and look more symetrical.
Discuss with your doctor wheter massage and breast displacement exercises can help the left breast accomodate the larger implant.
Too early to tell about breast swelling
It is not uncommon for one breast to be more swollen than the other for weeks or even months after a breast augmentation. I would give it at least 6 months for everything to settle down before considering a revision.
Difference in swelling can be normal
It is difficult to tell from your photo what is the cause of your asymmetrical swelling without an examination. However, you have a larger implant on the left which will make that breast appear fuller and you have had more work done on the left which will result in more swelling. If the pain and swelling is significantly more than the right, I would recommend contacting your surgeon immediately for an evaulation to make sure there is no bleeding. Unfortunately bleeding can happen even after a few weeks from surgery.
Asymmetry in the early weeks normal after breast augmentation
At only 3 weeks, it is normal to have some difference between the sides. It is also expected that with a dual plane procedure on the left, with a different size implant, I would expect it to be sitting higher. Are you doing massage exercises? If not, it would be very important for you to see your doctor to get instruction. Massage is critical in the early weeks and months to relax the muscle and prevent contracture.
Time is always difficult, because you want a perfect result Now. Follow your doctors instructions and you should be fine. Your left implant should settle in place very nicely and you look like you will have a great result.
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.