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Fixing Uneven Breasts After Breast Augmentation?
3 wks po...335 cc shaped cohesive gel under the muscle. My left breast is much smaller and not as full as the right, plus they are not as big as what i thought they would be even after trying on sizers.
I am very upset with my results. i would like to know if i had gone with a round implant as well as larger if it would have made any difference? i am having huge regrets :( and am seriously considering an implant exchange asap. Any advice on possible fix ups would be truly appreciated.
Asked 33 months ago by
j in canada in canada
+3
All patients have some degree of asymmetry
I agree with the other physician, I would not panic at 3 weeks and start thinking about revisions.
ALL PATIENTS have pre-existing asymmetries of their breasts and it is important to point them out in detail because many of the asymmetries CANNOT be fixed by breast augmentation alone. For example, the nipple position is slightly different (as it is in most patients) and that was undoubtedly there prior to breast augmentation.
I do not put that much stock in breast sizers...They always slightly &
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+2
Breast asymmetry
I can notice that you have inherent breast asymmetry as well as breast sagging. it also seems that your left breast implant might be a bit higher than the right one. changing to a round breast implant will give you a better cleavage. bigger impalnts will also make them look better. You need discuss things in detail with your surgeon and have patience.
+2
Few things
First of all, if they are shaped cohesive gel implants, then they will not drop any further. Shaped implants are textured and stay where they are placed. You seem to potentially have had asymmetric breasts to start with and I wonder if your doctor had pointed that out to you beforehand? Either way, I do not think that more time will lead to significant enough changes that will make you more pleased with your results, and I do agree that you will need a revision at some point. I...
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+2
You will need a revision, but wait several months.
Hi. There are several problems:
1) Your two breasts are different with more sagging and less volume in the left breast. You may need a breast lift on the left.
2) The implant pockets are too high. Unfortunately, they are not going to "drop".
3) The implant pockets are too far apart.
4) I would not get bigger implants, at least not on the right.
You can definitely be made a lot better with a sophisticated revision. You need a detailed plan. In Manhattan, we would wait several...
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+2
You needed a lift
Unless your plastic surgeon discussed your needing a lift to get the best result, they have not served you well. Clearly, you are asymmetric and your left breast is droopier than the right. That is why you think the left is smaller, because the breast is falling off the bottom end of the implant, not because the implants are different sizes.
Many plastic surgeons are afraid to tell their patients that they need a lift because of the scars and that telling you something you don't want to...
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+2
Many different options for breast implant revision
Clearly there are many issues here which need to be addressed:
1) Volume discrepancy: Right larger
2) Nipple dystopia: Left lower
3) Ptotic glandular tissue: Pseudoptosis with involutional atrophy
4) Enlarged Areolae: Probably larger than average 4.2cm
5) Mild constriction: Left sided narrow base diameter
Each of these issues needs to be addressed. To some degree in quick summary, you may benefit from biplanar approach radial relaxing incisions, mastopexy. All of these interventions may not...
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+1
Unhappy after breast augmentation
Hello,
Good photos. It appears that your implants may be too narrow in diameter for your chest as well as too high. I would mark the outlines of where you anticipated the border of your breasts to be and measure this diameter. although there are constraints as to where the muscle attachments are located this measurement will give you a better idea of the implant diameter that would be more appropriate for you.
All the best,
Dr Repta
+1
Wrong diagnosis equals poor result
In my opinion, the reuslt will not qualitatively impove with time. you do have natural asymetry with areolar/parenchymal mismatch and protrusion and appearance of high inframammary folds. this constellation, is referred to as constriction, moreso in the left than right.. the procedure of augmentation does not address the myriad of maneuvers required to allow the breast to redrape over the implant normally. in short, a different operation will be required with a areolar reduction/...
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+1
Breast Asymmetry after Breast Augmentation
J,
Based on the photo you submitted, my observation is that the implant position is relatively high on the breast. Textured implants tend to maintain their position so I do not suspect that they will settle much lower. With the left breast implant in higher position it may give the appearance of different volumes. The nipple positions may also appear different because of the implant position. It would be helpful to see your preoperative pictures as well. That information would be helpful...
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+1
Wait
Both breasts are still "high". My experience is that they start to drop between 4rd and 4th wk after surgery. Don't panic yet. Hang in theresek
+1
Not enough information but...
One cannot make significant judgment regarding your results without seeing what you looked like pre-op, including dimensions of your breast, and without more detailed discussion of what your goals are. However, despite the fact that some implants settle over time, this may not be expected to occur as much with shaped implants that are designed to adhere to tissues and to fit the skin envelop more exactly including the position (hence the need for the shape). You appear to have ptosis or...
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+1
Wait 3 months
Going back to replace implants sooner than 3 months would not be advisable. You would have some swelling in the tissues that would predispose you to wound healing problems and possible infection. Yes, you can have larger implants. I would also consider at least a circumareolar (donut) mastopexy). It would help make your areolas smaller and in balance with the breast. I don't think you need a full mastopexy, especially if choosing larger implants.
Your asymmetry may have been there before...
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+1
I think a lift would have helped
It's hard to speak with complete confidence about your case without having seen your preop photos, but based on this one photo, I think a lift (mastopexy) should certainly have been considered. While it involved more incisions, I think it would have given you a far better chance at a more natural result, with improved symmetry and improved breast shape. In addition, a round implant would have been my choice in your case as well.
At the moment, the worst thing you could do would be to go...
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+1
A lift would be helpful but your breasts are naturally wider
Your breasts sit naturally wider on your chest and by virtue of them being under the muscle they will stay wider. This is a discussion that is important to have pre-op because every woman's anatomy is a little different. Your breasts will settle and "drop" but in the future you may chose to have some form of a breast lift which can reduce the size of your areola if you desire to. I would recommend giving it time and following your plastic surgeon's instructions to see how you...
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