Do I Need a Revision? My Right Upper Pole is Still Too High. (photo)

Hello, you have all been so helpful and I thank you for that. My question now.....my right breast seems to be dramatically larger and higher than my left breast. I am currently almost 10 weeks post op. It has been higher since the surgery and I have been massaging (selectively the R breast). Will a revision be required and/or help or do I still need to give it some time? I saw my PS a couple days ago and mentioned it but he didn't comment. Thank you!!

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uneven 2 months post-op upper pole

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11 Doctor Answers | Asked by Damsel in Denver, CO

Doctor Answers (11)
Community Comments (2)

Asymmetry after breast augmentation--Here's a suggestion no one has mentioned!

Aside from trying to decide if this is a mirror photo and which breast implant is lower, it's pretty clear that one implant is indeed lower than the other (you know which one, I'm sure), and the lower implant side is really as low as it should go. Any lower (and you can probably expect that as you are only 10 weeks post-op; full softening and settling can take 6 months or longer) and that side may actually "bottom out" too much and start to look bad. While the "other" side (the... more

Possible breast augmentation revision

It will take a full 4-6 months to know for sure but it does look likely that you are heading for a revision unless things change dramatically. One thing you don't mention and I can't tell from the photo is whether the creases below the breasts are level or not? If not, they needed to be made level so the implants sat at the same level.

High Implant After Breast Augmentation

I would wait a little longer, perhaps even 6 months, before considering a revision. That higher implant will probably drop a little more. In addition, that same breast has a lower nipple areola complex and may need a circumareolar lift to help with ultimate symmetry. Preoperative photos would be helpful in this regard. Kenneth Hughes, MD Los Angeles, CA

Do I Need a Revision? My Right Upper Pole is Still Too High.

Again a before posted photo would demonstrate the asymmetry you had prior. The result is very acceptable but for more evenness you will need further surgery if desired.

Implant position after surgery

I agree that the left implant looks high. volume should be judged in a bra the left implant can be lowered if not better after another month of massage . if it is firm consider accolate or singular

Asymmetric Breasts

Hello Damsel, I understand that the photo's images are reversed. What is striking about your appearance in the photos, both after your first and your second surgery, is the the difference in your nipple to inframammary fold length. Your left nipple is higher than your right, and it has a lot of skin between it and the left breast's inframammary fold. This 'extra tissue' is allowing the implant to 'settle in' to it's pocket easily and more completely. On the... more

After Breast Augmentation

From the picture, I can't tell that the right breast is larger than the left. It does look like the right implant is lower than the left breast though. I think you should wait the full three months that it takes for the swelling to be gone from your breasts before you decide if you need a revision surgery. Be very straight forward with your surgeon about your concerns. Good luck!

My Right Upper Pole is Still Too High

I am not sure if this photo is taken in a mirror or not, but it looks like it is the left breast that is higher. !0 weeks is early to consider a revision for this modest level of asymmetry. Patience. Allow at least six months from surgery, and in the meantime, continue massage, and continue to follow up with your surgeon. All the best.

Time May Be On Your Side

In the photos, it appears that the left breast is fuller on top with a slight downward orientation of the nipple. If the breast creases are equal and you can feel the bottom of the implant at the crease, this may be a result of the left lower pole still being a bit tighter than the right. This may correct over time with the assistance of downward manipulation. A second surgery may be necessary if the crease heights are different or if downward manipulation fails to improve the... more

Breast asymmetry

The two breasts are a bit different. It would be interesting to have seen the proe-ops. More than likley a nipple lift will be required on the lower nipple, and perhaps some volume change to adjust the two.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

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Comments (2)

Damsel 5 Feb 2013

I was looking at your pics and can see what you are talking about :( though you're probably right that it looks worse to ourselves than others. Only good thing about this for me is that I get to go bigger. Otherwise this sucks! What's worse is that my PS won't even recognize a problem :( Good luck!

swift 4 Feb 2013

I'm totally in the same boat! Although the difference between your two breasts looks quite small to me... I feel like the difference between mine is incredibly obvious at the moment, but I think we always feel worse about our own bodies. Is this your first surgery?

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