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.

Fixing uneven breasts after breast augmentation?
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10 answers to “Fixing uneven breasts after breast...”

A: All patients have some degree of asymmetry

James F. Boynton, MD

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... more

A: Few things

Brian S. Glatt, MD

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?... more

A: You will need a revision, but wait several months.

George J. Beraka, MD

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... more

A: Wait

Scott E. Kasden, MD

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

A: Not enough information but...

Robin T.W. Yuan, MD

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... more

A: Wait 3 months

Francisco Canales, MD

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)... more

A: I think a lift would have helped

Shahram Salemy, MD

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... more

A: A lift would be helpful but your breasts are naturally wider

Michael C. Edwards, MD

    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... more

A: You needed a lift

Richard P. Rand, MD

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,... more

A: Many different options for breast implant revision

Otto Joseph Placik, MD

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... more

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