Should I be concerned with my asymmetric breast 5 months after augmentation? (Photo)

"Final" healing takes between 6-12 months, as shown by many studies and personal patient experiences. Thus, if you are a "rapid healer" this could be pretty close to your "final" position for both sides. Or, you could have many more months for change to occur, and "assisting" proper positioning of your implants in their respective pockets would aid your outcome.One way to assess if you are the former or the latter would be to look at your incisions. If they are still pink and slightly firm, then you have further healing, softening, and scar maturation to occur, including inside your breasts (specifically, your implant pockets). This means your scars can be expected to change further, and you can actively affect your outcome by using an elastic strap at night. I would have you wear it above the "high" breast and below the "low" breast, Mexican gun belt style. (You would want to wear a T-shirt over the strap and safety pin the strap to your T-shirt to keep it in place.) This helps put downward pressure on the high implant, while supporting the already-there implant from further drop.I tell my patients that their scars (and pocket positions) are modifiable at least until scar maturation has occurred. This gives most women plenty of time to make these "small adjustments" in position to aid symmetry. Once scars are mature (as evidenced by soft, pale external scars), then you pretty much have what you have, and any revisions after that would be surgical.Neither breast looks bad, and you DO have a good result. But they don't match, and if they did (assuming you like your size), you would have a spectacular result! Since you are massaging and compressing, I also assume you have smooth round implants, since textured implants (teardrop AND round) cannot be expected to drop, settle, and improve position much at all over time (since the texture is designed to adhere to the tissues.)Ask your surgeon about an elastic bandeau--can't hurt, might help! Best wishes! Dr. Tholen

You might have some 'bottoming out' of your right implant - it appears to be positioned lower down on your chest wall than the left implant - which looks nice. Speak to your plastic surgeon about this issue - it is in the realm of a cosmetically acceptable result, for sure.

The asymmetry that you are referring to is visible in the photographs. Whether or not you should be “concerned” is a very personal issue; in other words, some patients would be pleased with the outcome of the procedure, some would wish to improve the symmetry. Exactly what procedure you should proceed with, if any, will depend on which breast you like better. If concerned, communicate your questions/concerns with your plastic surgeon in front of a full-length mirror.  Hopefully he/she has experience helping patients with revisionary breast surgery; working together you will come up with the best plan. You may find the attached link, dedicated to revisionary breast surgery concerns, helpful to you as you consider options. Best wishes.