Breast Pocket Overdissection?

I had a transaxillary, subfascial, 400cc silicone breast augmentation in April. The left one was lower and larger immediately after surgery. My PS had me return the next day, at which time he instructed me to wear tape underneath it for support. I wore the tape for a month. Regardless, the left breast is still lower and appears larger. My PS never discussed any natural asymmetry or size differences I may have had prior to surgery. Please help. What is the problem and how can it be corrected?

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9 Doctor Answers | Asked by RS100 in Michigan

Doctor Answers (9)
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Breast Pocket Overdissection?

Your title of over dissection is not what your so kindly posted series of photos shows. The issue is one of the preoperative appearance and desires not matching the post operative ones. You were asymmetric and N/A uneven before the operation. Either your chosen surgeon missed this issue or you did not fully understand the operation. In the post op photos your result is acceptable but could be better. So are you willing to have a revision? that is the real question. I would increase the size... more

Breast augmentation -getting it right the first time

Your before surgery photos show some minor asymmetry but the after surgery photo shows significant asymmetry with left breast fold lower than the right and the left pocket tighter around the left implant making the breast look larger. I assume that the same size implants were used on each side. If the before surgery asymmetry was greater than it appears the left fold may have been lower to start with and this is the only result you can get through the armpit because you cannot change the... more

Post-Op asymmetry

No woman's breasts are identical nor will surgery make them so. In 70% of women the left is slightly larger as yours was. The shape of your breasts were also different. Even using the same size implants I would expect your right breast to be tighter, rounder and higher as you have noted it is. It is 4-6 months before the swell ling is gone and the breasts have settled. You have a few months to go and things could improve, but if they... more

Breast implant position

I think you are correct. Your left breast implant does sit a little lower than your right, and the inframammary crease height is visibly lower on the left. This is a pocket dissection issue. It won't change over time. It must be said that your result is otherwise beautiful, and that the height difference does not negatively impact on your breast aesthetics. The question is whether you can be happy with your result. If you can, then there is no need for... more

Breast asymmetries following breast augmentation surgery

Breast asymmetry is the rule for most women and you are no exception with your left breast being slightly larger and lower than the right. Though the pre-op photo doesn't delineate it, your right lower breast crease may actually be higher than the left though this is (conjecture). The postoperative photos reflect this pre-operative asymmetry in size and possibly in position in that here the left breast sits lower versus the right. The size difference is not "abnormal"... more

Pocket over dissection

Looking at the pre-op photos show the left breast is a little larger then the left. The nipples are asymmetric , the right nipple is slightly lower and points more to the left as compared to the right breast. The left breast with the implant is slightly larger then the right breast with the implant. The pre-op asymmetries are there from the photos post op. An option to discuss with your surgeon is to place a smaller implant on the left side to adjust for the pre-op volume difference. All in... more

What happens if the breasts appear different after augmentation surgery?

Braest asymmetry is very common before surgery. On close examination of the preop breasts it apppears that the left breast is a bit larger. The postop breasts definitely shows that the left breast is larger and possibly slightly lower. The left breast implant may need to be changed to a smaller one. I don't believe that the pocket dissection is the cause of this difference. If the size continues to be larger, and is therefore not due to swelling, then a replacement may be necessary. You... more

Breast augmentation asymmetry: Pocket, implant, or other causes

Hello, Some degree of preoperative breast aymmetry is normal. From your photos you appear to be fairly symmetric before surgery. Although a few different views of your postoperative result would be helpful to assess properly it does appear that your left breast is larger than your right after surgery. This would not be caused by a pocket overdissection alone since comparable sized breasts before surgery augmented with the same implant would yield comparably sized... more

Breast asymmetry after surgery

No two breasts are identical. They differ in size, position, direction, nipple. Your pre-surgery pictures show a relatively good symmetry between the two sides however without a proper examination or additional pictures it is difficult to tell how symmetrical they are. Your postop pictures do show that the left appears larger and slightly lower. The position asymmetry is small and could simply be the way your natural breasts sit. The volume asymmetry is little... more