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6 Months Post Op Breast Augmentation, Uneven Breasts....

asked 10 months ago by wonderingmomof2 in PA
Latest answer by George Lefkovits, MD
Question viewed 1,805 times
Tags: asymmetry, silicone implant, under muscle, 400-449cc, A to D cup, rippling, uneven

Had BA Dec 2010 Under the Muscle Silicone Gel Med Profile 400cc on both breasts. I was a 34A cup and now a 34D. I have had some rippling issues in my cleavage area you can mildly see in the pictures which I am concerned with and why are they so uneven? I asked my PS about this he said to massage the right breast for the next 6 wks until my appt on 8/16. I moved the appt up to next week 7/21 b/c I am finding the only thing to make the uneven-ness not visible is a sports bra... unhappy.

12 answers to 6 Months Post Op Breast Augmentation, Uneven Breasts....

+2

Breast asymmetries following breast augmentation surgery

Your photos are very helpful in assessing your situation. Preoperative photos would be very helpful so as to determine how much asymmetry you had prior to surgery. Presently, your right breast is higher, smaller and the crease is significantly higher. If this higher crease was present prior to surgery, the treatment would be to lower it and therefore lower the position of the implant, providing you with greater symmetry. Consideration may need be given for a slightly larger implant on... more
Steven Turkeltaub, MD

Scottsdale Plastic Surgeon

www.turkeltaub.com

+1

Postop breast asymmetry after 6 months

The photos definitely shows that there is definite asymmetry between the breasts. You did not include photos of your preop breasts which would be helpful in analyzing the problem. But regardless at this tiem surgeryand not massaging is the only way to correct the asymmetry which would inlude lowering the right breast and possibly changing the size of the implant. Discuss with your PS. Good luck!
George Lefkovits, MD

New York Plastic Surgeon
+1

Uneven breasts after augmentation

I agree with the many experts who posted already. To summarize, there are several reasons why your breasts may be uneven - pre-existing asymmetry which may have been helped with a large implant on your right adn lowering the right fold slightly, a chest wall concavity on the right which is making the right breast implant "sink" into the chest and can make it appear smaller than the left, or the development of capsular contracture or scarring around the right implant. A pre-op... more
Matthew Schulman, MD

New York Plastic Surgeon
+1

6 Months Post Op Breast Augmentation, Uneven Breasts.

As you can read from the expert posters here you will need a revision of this surgery. Sorry. Best to obtain some other opinions from boarded PSSs in your area just to hear other options.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Asymmetry 6 months after breast augmentation.

Without a physical examination it is impossible to tell the degree of firmness in your breasts, and whether or not the right breast has more tightness or firmness than the left. If you are bothered by rippling, however, they could be soft and just have the high, tight, hard appearance your photos show. If they are more firm than soft, you have capsular contracture on one or both sides (possibly to differing degrees), and require partial or complete capsulectomies. Slightly larger... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon
+1

Uneven breasts after breast augmentation

Thanks for sharing your post-op photos. Based on the photos provided, the right breast seems smaller and higher. This is most likely due to capsular contracture, scar tissue around the implant. Is the right breast firmer than the left? If the asymmetry is due to capsular contracture, it will require revision surgery to remove the scar tissue. However, if you had asymmetry between the breast pre-op (where right breast was smaller and higher), then you may need... more
Sugene Kim, MD

Houston Plastic Surgeon
+1

Uneven after breast augmentation

It would be nice to see pre-operative photos to see if there was any degree of uneveness that was not correccted. It also appears that the right side may be tighter and have a firmer capsule than the left. Itr may be that you need a release of the capsule on the right or a different size implant. Discuss this at lenghth with your plastic surgeon.
David Nicholas Csikai, MD

Jacksonville Plastic Surgeon
+1

Uneven breasts after augmentation

You do appear to have a capsular contracture on the right side, and I would assume that it feels firmer than the left implant. The contracture is holding the implant into too high a position and not allowing it to settle into the lower pole of the breast. There is no other explanation UNLESS you had very uneven breasts with the right breast much higher than the left preop and the surgery did not correct or improve this pre-existing condition. At several weeks following surgery, let... more
Robert M. Grenley, MD

Seattle Plastic Surgeon

www.seattleplasticsurgery.com

+1

BREAST ASYMMETRY

Thanks for the photos. Preoperative photos would be helpful to check for asymmetries. At this point almost 7 months since surgery the only thing that will improve the asymmetry will be surgery. If you do not have capsular contracture lowering of the right breast implant maybe the only correction needed. Usually this is a simple straightforward procedure without too much risk or down time. Discuss your concerns with your Plastic Surgeon and inform him you have... more
Todd B. Koch, MD

Buffalo Plastic Surgeon

www.toddbkochmd.com

+1

Asymmetry post-augmentation

Many of the issues of asymmetry is related to pre-existing asymmetry whether it is size, position, or shape of the breast, or position or size of the nipple areolar complex. Augmentation is inherently an imperfect operation and the more of the breast that is comprised of the implant the more the imperfections can be visible. This includes, position, shape, or softness of the implant. Sometime the augmentation can reduce asymmetries but sometimes it exentuates it. Robin T.W.... more
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon
+1

Asymmetry Rippling After Augmentation

The photos are very helpful. There could be several reasons for the asymmetry. Preop photos would have also been helpful since they allow us to see asymmetries prior to the implant placement. In addition, pocket dissection and capsular contractures can effect implant position. Discuss this with your surgeon. At 6 months I would not expect things to change much. You may need further surgery to help correct the asymmetry. The rippling could be from a... more
Albert Dabbah, MD

Boca Raton Plastic Surgeon
+1

Uneven breasts after breast augmentation

You may have a mild degree of capsular contracture (hard scar tissue) on your right side which has prevented the implant from settling into its natural position. This may require surgery to lower the fold on your right side and adjust the capsule. Your plastic surgeon can give you more information with a thorough physical examination. Best wishes, Dr.Bruno
William Bruno, MD

Beverly Hills Plastic Surgeon

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