How Do Plastic Surgeons Make the Pockets Even on Both Breasts?

I had a revision where the surgeon had to bring the inframmary fold up to a better Position. I am 6 months post. I am being told by other surgeons that the left breast fold is 1mm lower than right breast. Is there a special surgical tool that you use during surgery so they are even on both sizes like leveling a picture on the wall?

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pocket uneven technique

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9 Doctor Answers | Asked by hyperchick in NJ

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How plastic surgeons make pockets even on both sides . . .

In over 24 years of measuring breasts in women, I have found only two (2) who measured exactly the same, and both of them did not LOOK symmetrical. Others who looked perfectly symmetrical did not measure the same, and in fact often had really different measurements. Then again, even when I measure the same patient twice, the measurements often are "off" by 1 or 2 mm. (Of course, this is because skin is stretchy, not because I am inaccurate!) The reality is that no woman starts... more

How to make breast pockets even

I have never seen breasts with perfect symmetry, either natural or surgical. Typically a 1 mm difference in fold position would not be much to worry about. Careful preoperative markings, attention to detail in the surgery, and evaluation of the patient with the back of the operating table elevated are maneuvers that are useful. Minor discrepancies in implant position can often be adjusted after surgery with differential implant exercises, elastic bands, and support bras. more

Symmetry following breast augmentation

Achieving symmetry in breast augmentation is extremly difficult The reason is that there are so many factors that need to be considered in order to achieve symmetry These include Pre existing breast size Difference in base diameter differencein breast shape position of the breast fold nipple position chest wall asymmetry Surgical technique Curvature of the spine(scoliosis) Adjustable implants are of great benefit in achieving symmetry,however... more

Even pockets for breast augmentation

Certainly the pockets should appear even after breast augmentation though in most cases there will be an adjustment due to dissimilarities in the breast. The pocket position comes with good judgment and experience as it must accommodate the implant size and shape, natural breast shape and skin elasticity, and of course natural asymmetries in the breast. Other surgeons have seen a 1mm difference, really? You did not say if you like the way you look, the goal for most. Best of luck... more

How Do Plastic Surgeons Make the Pockets Even on Both Breasts?

Sounds like you fall in the normal ranges. But you did not post any photos so very hard to advise if there are differences. No special tool.

Breast symmetry

Remember a couple of things: 1. Most patients do not have symmetric breasts naturally. To expect human beings (plastic surgeons) to give perfectly symmetric breasts is ambitious to say the least, if not impossible. 2. 1mm difference is not only within normal limits, but hardly likely to be accurately assessed. Did you mean 1cm? 3. I find many patients tend to obsess about minimal asymmetries after surgery because they are scrutinizing their results more than they scrutinized... more

ASymmetry

A 1 mm difference in the breast folds is within normal limits. No one has folds exactly on the same level or shapes exactly the same.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Revision breast augmentation works.

Hi. You do not need any special tool. What we do is sit the patient up towards the end of the operation (you are still asleep, of course). Then we can actually see if the shape and symmetry are great. If not, we keep working, and check again. Sometimes, these steps have to be repeated two or three times before we are satisfied and finish the procedure. The other point is that one millimeter is very little difference. There is no such thing as absolutely... more

Making breasts even--it's not easy but we do it...

Hi there hyperchick. First, your scenario is a common one. Revisions after breast surgery are common and you shouldn't fault your surgeon for having to go back and "tweak" things. There is no special tool that we use to make the breast pockets even. It's simply using good surgical technique, having an aesthetic eye, and spending time preoperatively with markings and analyzing the patient's torso. Even with all of this, the breasts can still... more