Breast Implant Revision Q&A

86%

WORTH IT RATING

154 Reviews

Ask a Question

Breast Implant Revisionbefore & after photos

View Before and Afters

Average Breast Implant Revision Cost: $7,100

Learn about Breast Implant Revision

943 people and 512 doctors are talking about Breast Implant Revision

Get Free Email Updates

What Can Be Done to Fix Uneven Breasts After Augmentation?

asked 1 year ago by Kat66
Latest answer by Tom J. Pousti, MD
Question viewed 1,773 times
Tags: saline implants, under muscle, 350-399cc, uneven

I am 4 months post op with 375cc saline implants under the muscle. At three months I was very happy with the results. At 3 and half months my left breast shifted down and towards the side. I know from my before picture that my left breast was a little lower and I know BA can make that more noticible. I went to see my PS and he of course said to wait until 6 months but I am very sad/frustrated and not sure if anything can be done to fix them. Please let me know what my options my be. Thank you.

20 answers to What Can Be Done to Fix Uneven Breasts After Augmentation?

Breast Asymmetry

Yes, most patients have asymmetry prior to surgery and we as plastic surgeon's try our best to adjust for that and improve things if possible. I perform lots of revisionary breast surgery and Although there is no scientific study regarding this situation, I like to wait 9-12 months before performing this type of revisionary breast surgery. This time frame will allow for both implants to “settle” as much as they are going to (so that we see the final results) and... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Breast augmentation

Assymetry after breast augmentation is common and can frequently be corrected. Most women have assymtry between the breast but certain technical items can be performed to fix this. Usually it is advised to wait 6 months prior to a revision

David L. Abramson, MD
New York Plastic Surgeon

Breast asymmetry after Breast Augmentation

Hi there- I'm sorry you are not happy... Improving your asymmetry is going to require another operation.... It is important to understand that even with a revision, you are likely going to have some visible asymmetry, so you need to think about how badly the asymmetry you have bothers you, and whether it is enough to consider having another operation to improve... With regard to the timing, while I understand your desire to achieve maximum symmetry right away, I would agre more

Armando Soto, MD
Orlando Plastic Surgeon

Asymmetric breast before and after breast augmentation

You are correct that you had asymmetric breasts prior to breast augmentation. Unfortunately. that asymmetry gets augmented after breast augmentation. If you are really unhappy with the asymmetry/result, you need to undergo a revisional surgery. The options will be 1)Lowering of the IMF on the right or 2) Getting periareolar or circumareolar breast lift on the left. However, this is another surgery and you may have a new scar on the left breast. Even... more

Sugene Kim, MD
Houston Plastic Surgeon

Breast Asymmetry: To Fix or Not To Fix? (and When?)

You are right to note that you had an asymmetry preop and that implants can make the natural asymmetry more noticeable. All of us who perform breast augmentation face the challenges you present. The answers and possible solutions are very individualized. How to decide whether to try to improve an asymmetry? Does it bother you enough to warrant an operation? Does the asymmetry show when you are dressed? Does the asymmetry show in... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

What Can Be Done to Fix Uneven Breasts After Augmentation

I agree that you may need a revision surgery to correct the asymmetry, however meanwhile, I would place you in a breast strap over the higher breast. This may be effective enough to allow the higher breast capsule to strech and allow the implant to settle to a lower position. If successful, you may not need another surgery. Good luck!

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

Breast augmentation problems are often visible in the preop photos

As you have pointed out, you are now a larger magnified version of what you were before surgery. This is no fault of your doctor but will require a revision if you are not happy after 6 months. It will be necessary to close off the lateral pocket on your left side but even this will not give you perfect symmetry.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

Identical twins, sisters and cousins

Kat66: One of the leading PS once observed that breasts aren't identical twins. Our role is to improve symmetry (make cousins more like sisters) but that "perfection" is often illusive. Breast augmentation, alone, will give you a larger version of what you had before. Your pre-op photo foretold your predicament. Since your left chest rib cage-sternal connections are angulated laterally (oriented towards your armpit), it is understandable... more

Lavinia Chong, MD
Orange County Plastic Surgeon

When to treat uneven augmented breasts

Patience is one of the most important factors in achieving the best results in cosmetic surgery. We all want to see the final result as early as possible. Unfortunately, the healing process is complicated and takes time. You cannot fight Mother Nature. The surest way to get a poor result is to undergo revision surgery before your body is ready for additional surgery. With more than 30 years and thousands of breast augmentations, I have found that breast augmentations take... more

Richard L. Dolsky, MD
Philadelphia Plastic Surgeon

Be patient to see final breast implant results.

I do advise patients to wait 6 months to a year to see the final result. Your breasts may not be done dropping.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Postoperative assymetry. What can be done?

You are correct in commenting that you had asymmetry before your surgery. That being said, although there are a number of things that we as surgeons can do to try and lessen this assymetry, there is never any guarantee that we will be able to make your breasts 100% symmetric. I understand that you are probably frustrated at this point but it does make sense to wait a few months and see what happens. For many women, one side will drop a little faster at first and... more

Gregory A. Buford, MD
Denver Plastic Surgeon

Breast Asymmetry

Yes, you were asymmetric before surgery and now you are asymmetric after surgery. During surgery, the best attempt is made do improve symmetry. Without examining you or actually being at the surgery, it is impossible to comment specifically on what should or could have been done - if anything. In most cases, it is best to wait at least 6 months before considering any type of revision surgery. As you said, it all looked great until a few weeks ago, so there is... more

David Shafer, MD
New York Plastic Surgeon

Breast asymmetry

You are a perfect example of what can occur in augmentation. You have very different breasts before surgery and they are magnified in your mind after surgery. If you start to "cheat" the right one lower you may get a double bubble. If you lift the left one a bit, you have more of a scar. I suppose "choose your poison so to speak or do nothing."

Steven Wallach, MD
Manhattan Plastic Surgeon

T liFixing uneven breasts after augmentation

No woman enters the operation room perfectly even, and no one exits perfectly even. Every happy patient has committed to living with some degree of imperfection. If you really can't live with your current result you can look into a revision, but don't be surprised to find you're still not happy even after another operation or two. If I had to revise your result i would change to silicone gel implants. They are lighter than salines and have less tendency to... more

Eric Pugash, MD
Vancouver Plastic Surgeon

What Can Be Done to Fix Uneven Breasts After Augmentation?

Regarding:"What Can Be Done to Fix Uneven Breasts After Augmentation? I am 4 months post op with 375cc saline implants under the muscle. At three months I was very happy with the results. At 3 and half months my left breast shifted down and towards the side. I know from my before picture that my left breast was a little lower and I know BA can make that more noticeable. I went to see my PS and he of course said to wait until 6 months but I am very sad/frustrated and not sure if... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

What Can Be Done to Fix Uneven Breasts After Augmentation?

A re operation, Sorry. You have uneven breasts from the get go. I would exchange or fill the right implant to gain symmetry. Do an open release of the medial inferior left breast, lower the right inframammary fold. Possibly do a donut or crescent lift on the left. Best of luck from MIAMI Dr. Darryl j. Blinski PS Thanks for the photo history you are great to do that!

Darryl J. Blinski, MD
Miami Plastic Surgeon

How much breast asymmetry is acceptable

Asymmetry is the normal in nature, one hand or foot is different from the other, each side of the face is unique, and most often one breast has a different shape and volume than the other. Some differences can be made up with breast augmentation using a different shape pocket for the implant, a different size, or different implant diameter and projection. Even greater asymmetry might require a form of breast lift. In the end you must decide how much asymmetry you can live with. If your... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Breast augmentation -getting it right the first time

Thank you for posting the preoperative photos. I do not know what you looked like right after surgery but the preoperative photos show that you would end up with this result if you just placed implants without doing surgery on the breast tissue itself. Before surgery the left nipple and crease were lower down on the body than the right and the left breast was slightly larger than the right. Therefore you were not a candidate for armpit or belly button incisions to place the implants as they... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Asymmetrical breasts

One of the most difficult necessities when undergoing breast surgery, especially augmentation, is to decide on what imperfections you are willing to live with. Breast augmentation is an imperfect operation that correct many problems but not all. In your case, you will always be fighting some kind of asymmetry since that is what you began with. While your breasts may look asymmetric when viewed together, the left breast actually looks quite reasonable by itself in that the implant is centered... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Uneven Breasts after Breast Implants

Your pictures show that your left breast implant has settled into a position that is too low and to the side. This implant malposition requires revisional surgery to fix. You should see a plastic surgeon experienced with revisional surgery. You may require some special biologic material called alloderm or strattice in order to reconstruct the breast fold on the left and keep the implant from bottoming out. I agree with waiting a few more months though - no because it will get... more