I had mentor 350-400 saline implants put in 2.5 weeks ago. I did not see this much asymmetry before the operation, but immediately after the surgery there seemed to be a big difference. I have noticed very little change since. The right is much smaller, but has 390cc, whereas the fuller left has 370cc. I prefer the volume in the larger left breast. How possible would it be to have about 40cc added to the right without switching the implant? What would the procedure entail?
Is It Possible to Correct Asymmetry Without Changing out the Implant?
Doctor Answers (6)
Asymmetry following breast augmentation
it seems like your nipple to inframammary crease distances are not equal. this is the reason for your asymmetry not the implants. the surgeon should be able to save the implants and replant them but he must first determine the casue of your asymmetry which seems to be the above mentioned problem.
A breast is 3 dimensional and volume is unidimensional
There are concerns about changing the shape as you fill and existing implant without changing the size and dimensions, so it is not quite as easy as it sounds. Picture two people who weigh 130 lbs with one being 4 feet tall and the other being 6 feet tall. Just because they are the same weight does not mena they are the same shape.
Post-operative Breast Asymmetry
The difference between the two breasts is more than 40cc. Adding more than that to your current implant will do several things. 1) It will make your right breast feel firmer, and make the implant narrower and project more. 2) With time it may gradually weaken the shell of the implant.
You are going to need a surgery to increase the size of the right breast regardless. I recommend using sizers in the operating room to assess the volume difference between the two breasts, then to use the appropriate implant on the right side as opposed to continuing to overinflate the current right breast implant. Also, most women have asymmetry before surgery, and although the goal is symmetry, the reality is to attain as much symmetry as possible.
Hope that helps and good luck!
Dr. Babak Dadvand
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Some breast asymmetry is normal. While you can add some volume to one implant, it would require surgery, and it may make the implant feeel firmer than the other one.
Asymmetry after breast augmentation
Some degree of asymmetry is normally present in most patients, and breast augmentation surgery may occasionally accentuate this. Since you are only a couple of weeks out from your surgery, you should allow a little more time for the normal healing process to occur before you make a decision about your final result. There are a number of techniques short of switching the implant which may improve the asymmetry, and your plastic surgeon should discuss these with you.
Correction of Breast Asymmetry
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.