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Breast Uneven and Very Depressing

Ok i had uneven breast b4 i got my BA my left was smaller so my PS put 40cc extra in it.. he told me in my preop that it would be aobut 15-20cc.. then after surgery i was informed he put 40cc..i think this was WAY to much.. and now my left is BIGGER.it was smaller b4 surgery. I'm 18 days post op today. i feel like i paid $4000 to have big uneven boobs when i could of had small uneven boobs for free.. My ps said its swelling. I dont think its just swelling i think there always going to be like this..

Asked 35 months ago by unevenandunhappy in gulfport,ms

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breast size

Uneven Breasts after Breast Augmentation

I am sorry you are going through this, but this is not an uncommon problem. Most important: give yourself and Mother Nature some more time! As time goes by, the problem you now see, may correct itself. It is normal - in fact, it is usual to see some asymmetry during the first few weeks after breast augmentation surgery. Please understand that you are still very early after your surgery and there is a lot of healing yet to occur. The skin and muscle need time to stretch and... more

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Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

Uneven breasts after augmentation

Thank you for your question - I'm sorry you're having issues. You raised a very complicated issue. First and foremost it is entirely too early to know what the final breast shape will be at 18 days post-op. I know it can be difficult but try to give yourself at least three months. Things that you can do to pass the time that will help in the event you do need a revision include taking a picture of yourself once a week to demonstrate the changes that occur in the shape of your breasts as... more

Steven H. Williams, MD

San Francisco Plastic Surgeon

ASPS

The difference in the photos is more than 40 cc's

Early on, you are still swollen from the surgery. The left side looks more swollen and may even have fluid around the implant. The visible difference between 20 and 40 cc's of overfilling is much less than the difference in your photos. The crease on your left also looks a bit higher than the right and this will make the upper pole look fuller. For now, stay close to your doctor, and follow instructions about massage. Maybe consider an ultrasound to evaluate the left side for a seroma... more

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Uneven breast augmentation results

If your left was really smaller to begin with and the difference added was only 40 cc's, it could very well be swelling. 40 cc's is not a big difference to begin with. Right now, all you can do is wait it out a bit and see how things look after the swelling subsides and the breasts soften.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Few facts

Hello ,you should not feel bad that early after surgery. Few facts about your surgery: 1-You are still in your third week and more swelling could still be present. 2-The left side is slightly higher and this could give more upper pole fullness. Massage in this stage could help to adjust the position. 3-The difference between 20 and 40cc will never give this picture. I would wait for few more weeks and following this if you still got volume difference you might need a small revision. more

Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

ASPS

Breast Asymmetry and Post-op Swelling

It is too soon to tell whether the asymmetry is due to swelling or an asymmetry caused by overcorrection of one your breasts or undercorrection of the other. If the asymmetry still exists after 6 months, it may be time to start discussing a revision with your surgeon.

Jeffrey Weinzweig, MD

Chicago Plastic Surgeon

Uneven breasts after augmentation?

40 cc is not a lot of volume, in general. I do see that your left breast appears larger, though. However, only 18 days after surgery is far too soon to worry about size discrepancies. Uneven swelling often occurs. It may also be that your muscle on that left side is tighter than the right one (this is VERY common, as the right pec muscle tends to relax with right-handed use after surgery). If you are still asymmetric after 6 months, I would just remove some volume... more

Carmen Kavali, MD

Atlanta Plastic Surgeon

ASPS

Implant assymetry

Sorry to hear about your implant issue. Its difficult to tell, but I'm assuming your surgery was recent. It is not at all unusual to to use asymmetric volume in implants to correct asymmetry. If it is very early in the postoperative period, the asymmetry may indeed be due to swelling. If the swelling resolves, and you are still asymmetric, adjusting implant volume to achieve better symmetry is only a minor procedure. Don't be discouraged. Give... more

Jason R. Hess, MD

San Diego Plastic Surgeon

ASPS

Breast symmetry with saline breast implants

The difference in breast size may still be due to swelling or breast implant volume. The important thing is that no one will know for sure, so the best advice would be to wait and let the breast swelling resolve. Trust your surgeon.

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Breast asymmetry after augmentation

Breast asymmetry is very common. Your surgeon tried to even out this asymmetry by filling the left implant with more volume, which is the appropriate thing to do. I'm sure that on the operating table, the breasts appeared very symmetrical. Your stress with your current asymmetry is understandable, and it's difficult to be patient, but you need to let the implants settle. This type of early post-operative appearance is common. Your left breast was... more

Robert Wilke, MD

Minneapolis Plastic Surgeon

ASAPS

3D imaging to estimate breast asymmetry

Based on the picture alone the left looks like it is more than 40 cc larger than the right. There are two plausible possible reasons for this. The fill volume of the implant was miscounted (unlikely but it has been known to happen) There is signficant swelling or other fluid (hematoma) on the left Hopefully it was just swelling, and hopefully this has now resolved completely. 3D imaging is a great tool to assist plastic surgeons in estimating breast... more

York Jay Yates, MD

Salt Lake City Plastic Surgeon

ASPS

Breast Asymmetry

You are right and I'm can easily see your asymmetry. Swelling is part of recovery, perhaps not enough to account for that discrepancy. You can be corrected and you can feel good about yourself again. As with all cosmetic surgery you need some time between first surgery and the correction. It is far too dangerous to correct your asymmetry at this time. Generally I will wait three months. This will allow more time for the soft tissues and skin to... more

John C. Pedersen, MD

Akron Plastic Surgeon

ASAPS ASPS

Uneven breast augmentation

I hope by now you are more equal in size and happier with the overall result. Breast asymmetry is a fact of life as you already knew prior to having your augment. Your doctor tried his/her best to create symmetry with an asymmetrical fill while viewing you intraoperatively. 40 cc's is really not that much of a volume (think 8 tsp or 2.5 tbsp) and it should make or break a result. It is likely your early results reflected some swelling or fluid in the pocket. ... more

Curtis Wong, MD

Redding Plastic Surgeon

ASAPS ASPS

Breast asymmetry after breast implants can be corrected.

Hi. The truth is that your breasts look quite good after breast implants, but the left breast is a little larger. Wait six months. If it still bothers you, you can have a revision breast augmentation with a slightly smaller implant on the left.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Treating Breast asymmetry or uneveness

SEE VIDEO BELOW BY CLICKING "MORE": Treating Breast Asymmetry can be frustrating for both physician and patient alike. If often requires more than one surgery. Perfectly even breasts are not possible but less asymmetric breasts is a desireable and realistic goal. I have prepared a 4 part teaching video on this problem if you are interested in reviewing some of the considerations in breast asymmetry surgery with implants see video

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Some breast asymmetry may persist after augmentation

It is difficult sometimes to attain perfectly symmetric breasts in the patient with certain preoperative breast asymmetries. You are still early in your recovery and your breasts appear 'tight'. You should continue with post operative massage and allow your breasts to accomodate over the next several months to now having the implants in. Twenty to 40cc's is not a large difference in many patients.