Breast Implant Revision: Q&A

Ask a Question

What Can Be Done to Fix Uneven Breast Size After Silicon Implants?

I had 400cc silicone implants placed under the muscle but my right breast looks bigger than my left breast. Also them seem to be too far apart. My doctor said it's because I have more breast tissue in my right breast than in my left. He said he can't use two different silicone size and I would have to go with saline instead of silicone. I was very flat before with thin chest wall. What can be done to fix this? Should I have gone with saline instead?

Tags:

uneven options spacing

Comment on this

23 Doctor Answers | Asked by unhappyeverafter in Sacramento, CA

Doctor Answers (23)
Community Comments (0)

Uneven breasts after Augmentation

Your breasts look pretty even to me. Every natural pair of breasts has minor asymmetries as does any augmented pair of breasts. Silicone implants, depending on manufacturer, have sizes that go up in 25cc increments. You can always have a larger implant put in one side...25cc larger, 50cc, etc. If your difference is less than 25cc, then it is too mild to worry about. Regarding the distance between your breasts, your anatomy may limit the degree that may be narrowed. If your pockets are closed... more

Unhappy after breast augmentation

If I am not mistaken, we have seen your photos before on RS regarding this same issue... All I can say is to give the healing time, work closely with you doctor and realize that some body types don't allow for the results you mostly wish for. On the other hand it looks like some wider, maybe less profile implants could help, not saline. As for the size difference you see, you probably need to be more flexible and realize that no two breasts are perfectly alike since the... more

Uneven breast size after implants

It is important to realize that no two breasts are exactly the same. That is true before as well as after having breast augmentation. The differences are usually subtle variations in size and shape and are not noted by most casual observers. However, when particular attention is directed, especially after having surgery, these small differences may seem much more significant. In the photograph submitted, the beasts look natural and do not appear to be obviously... more

Uneven Breast Size after Breast Augmentation

This is a question that will elicit quite a bit of advice but you will find most of it is similar. No two breasts are identical in either size or shape before or after breast augmentation. In this case, they are reasonably close and will look even better once they have settled in more. Implant position is dictated by the position of your breast and nipple on you chest wall and implant position seems fine in your case based on one view of photos. I personally would not recommend fat... more

Breasts not even

As has been mentioned, you do have a overall nice result. And asymmetries are a fact of life when it comes to breasts. If you're intent on having perfectly equal breasts, you have a lot of issues to consider including mounting costs to have fat injections (not quite mainstream yet), change of implants (but by how much will make you perfect?), revisions of the pockets to allow more medial positioning and a better cleavage (but with nipples now rotating outwards) so the... more

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Uneven Breasts After Surgery

From your photos, I think you look pretty good. No surgeon can every guarantee perfection with cosmetic surgery especially with both breasts being identical. Most patients' breasts are not "exactly the same" before surgery so it's hard to make them "exactly the same" after surgery. Yes, we can use different size implants, etc.. to try to achieve as much symmetry as possible but it's never guaranteed perfection. I always tell my patients that their... more

Not necessarily

You actually have a very nice result. Kudos to your surgeon. It is very normal to have very small differences in a woman's breast size, 80% of women have the left breast larger than the right. 20 % of women have the right breast larger thean the left. Perfectly symmetrical breasts are very, very rare. In additon, the left side of your chest is wider thant the right because you heart is on the left side. Obviously there is no way to... more

Not possible to achieve exact symmetry of breasts

It is not possible to guarantee exact symmetry of your breasts following breast augmentation, as to size, shape, feel, and positioning of the implants. However, if you feel that one is larger than the other, it is possible to use silicone implants of different sizes to each side. Silicone implants are usually made in incremental sizes 30 cc's apart. You could put 420 cc implant on one side and 450 cc implant on the other as an example. From your picture, I think... more

Everyone has some asymmetry

Sometimes there is asymmetry and the patient may not notice it until after the augmentation. First you should wait for all the swelling to subside, and then speak to your doctor about your concerns. It is possible to use a slightly larger implant on one side to help with volume differences.

Breast asymmetry can be corrected with revision breast augmentation.

Hi. I think it is more a matter of shape than size. One implant is lower than the other (which makes one breast look smaller), and they are too far apart. And your surgeon can try slightly different size silicone implants. Maybe 375 cc's on one side and 400 cc's on the other. But saline will not help. see video

Asymmetry after Breast Augmentation

As has been said by many physician responders many breasts are uneven before augmentation. This difference is not in size alone. To be complete in this analysis more views are necessary but from this view alone the right breast to be aiming"down and out" compared to left breast. There is also slightly more hang to the right breast. It also appears that the left breast has slightly more upper pole fullness. With all these slight differences I can't tell you... more

Breast Size after Implants?

It is possible to use different size gel implants but there is a fixed choice. With saline you can be any size or variation. It may be possible to have your breast placed more medial for cleavage. Talk to your doctor. You look actually quite good but hard to assess with one frontal photo. Good luck. Dr George Commoms

Size mismatch after augmentation

From the single picture you posted it is hard to see a significant difference in size. The wide cleavage area is typical for an under the muscle pocket that has not had enough medial muscle release. Pocket revision to bring the two implants closer to the midline could be performed at the same time as implant exchange. A larger implant can be placed for the smaller breast without difficulty. Keep in mind, though, that breast size asymmetry can be deceiving: is... more

Uneven breasts after augmentation! What can I do?

It is important to note that women's breasts like, like many other parts of the body, are not completely symmetrical. After breast augmentation, these differences can become more noticeable, as everything looks bigger. In order to obtain more cleavage the breast implants should be placed over the muscle or fat grafting can be performed. For marked asymmetry, different sized gel implants can be used for each breast, or gain, fat grafting can help. I often use the Vectra 3D system to help... more

Breast asymmetry

No two breasts are exactly the same. Most surgeons like to put the same shape/size implants if there is not a large difference between the two breasts. As for spacing, this is predicated on your anatomy. If you do not have a lot of cleavage to begin with, then it is very hard to make it very close.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Different size breasts

I would agree with most of my colleagues. Few, if any, people have perfect symmetry. The implant should be centered under your nipple, which it is. If you did not have a tight cleavage prior to surgery, and your implants are placed correctly, you probably won't have significant improvement in that aspect postoperatively. I do think you can use different size implants in an attempt to correct mild asymmetry but there is a limit to how effective this can be. more

Distance between implants after breast augmentation

The distance between implants after breast augmentation relates primarily to the width of the breast bone and the diameter of the implants. Patients with a narrow breast bone (sternum) will have a more narrow cleavage. Patients, like yourself, have a wider sternum and therefore the implants are set farther apart. It is not possible to place the implants closer together without over releasing the muscle. Most patients have some preoperative asymmetry and implants alone... more

Uneven breasts with silicone implants

This is a common problem as most people have different size breasts to begin with and any implant will just make the differences more noticeable. You have the option of going to saline wimplants were diferenecs can be adusted by different fill volumes. Having two different silicone implants is possible but the implants have different diameters and you will still be uneven in shaope thougfh perhaps better matched with volume. Go with saline.

Minor asymmetries are normal

Dear lady, I can agree with what most of the colleagues say. Very few women have perfectly symmetrical breasts. Also your posture is asymmetrical with your right shoulder higher than the left. Significant asymmetries can be corrected with two different implants, no need for saline there. The only way to have a narrower cleavage is to place the implants on top of the muscle. That is only possible if you have sufficient breast/fatty tissue to cover the implant. I would try... more

Uneven breasts after augmentation

You should wait at least six months following breast augmentation to assess volume symmetry, especially when the breasts are relatively close in size. One breast is often more swollen than the other, but that will resolve with time. If it has been more than six months since your surgery, and you still have asymmetry that you want to improve, you would either change to different size gel implants or saline. In general it is best to accept a small difference between breasts rather... more

Different size breasts after breast augmentation

It certainly is possible to use different size silicone gel breast implants to help compensate when the breasts are different sizes. However, it is not possible to have two breasts exactly the same size. Also, it may be possible to release more tissue toward the center of the breasts to try to reduce the separation somewhat, although with your anatomy, you are likely to still have significant separation between the breasts regardless, and too much release here can easily cause... more

Two Different Sizes Of Silicone Implants Can Be Used

Surgeons can use two different sizes of either silicone or saline implants. They are packaged and sold singly rather than in pairs. I would not recommend switching to saline. I agree with Dr.Grenley that your asymmetry appears on the photo to be subtle. Bear in mind that minor asymmetries with/without surgery are not uncommon.

Consider fat grafting to make the breasts even

At the Bougainvillea Clinique in Winter Park , Florida, I routinely perform fat grafting over breast implants to improve size and fullness, shape and symmetry. Fat grafting is also an excellent option to improve fullness of the upper breast, conceal rippling, improve cleavage and even improve capsular contracture. I perform fat grafting after breast implants in situations such as yours, fat grafting alone for breast augmentation and reconstruction, and even as an initial combined procedure... more