Good Right Implant. Bad Left One? (photo)

I had breast augmentation two months ago, 600cc silicone placed under the muscle with incisions through my armpits. My right implant has dropped quite a bit and it very soft and natural feeling. The left one hasn't dropped at all since my surgery and is slightly harder. What could be causing this?

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7 Doctor Answers | Asked by BostonPancake

Doctor Answers (7)
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Breast Implant Asymmetry

Hard to know exactly what is going on. I would love to have seen pre-operative photos to see if you had asymmetry to begin with. Being that said here are several things that could be going on. The first is the most simple and obvious problem. You may have a pocket on the left that does not accommodate the implant like the right one does. It is early and the implant may drop over time but if it does not drop by 6 months or so you may need a pocket revision to lower that implant. The next... more

Implant malposition could be a number of things.

Thanks for including a photo; it clearly shows the asymmetry you describe, and the cause could be a number of things. This could be related to the surgical pocket being created too small, or with inadequate fiber release (as compared to the opposite side). Since your surgeon used an axillary incision and you have pretty large implants, there was probably a significant amount of armpit tissue manipulation, and there may well have been some sweat gland or skin pore bacteria introduced onto... more

Breast Implant Asymmetry

Hello, I am sorry you are having this problem with your breast augmentation result. Any potential difficulties with pocket dissection with axillary breast augmentation surgery, or the lack of using a breast band after surgery are not the causes of your problem. If you had this problem with both sides, then you might have a good argument for those culprits. Your problem is called capsular contracture, which commonly occurs on one side. You will need a revision surgery to... more

Good Right Implant. Bad Left One?

Based upon the posted photo I see a poor left pocket dissection on your left implant causing the lateral high riding effect. This can occur more frequently using the axillary approach to implant placement. Especially that larger size range. Re operation on the left is indicated via infra mammary approach in my opinion.

Hello

In our practice we give our patients breast bands to help pressure the implant to drop down into the pocket. You are still early on from surgery, you should get help to correct that issue the sooner the better.

Breast asymmetry after surgery

Thanks for your inquiry, you need to be discussing this regularly with your plastic surgeon. You may have early encapsulation on the left or possibly the left pocket was dissected differently. Only on exam can this difference be ascertained, good luck.

Left implant

It is still a little early to know if it will soften and drop. Possible explanations are a difference in the way the pockets were made or where the implants were placed, differences on your body before surgery, capsular contracture, or just needs more time.