BA Post Op Asymmetry? (photo)

BA on 9/7/12 to correct asymmetry. AA on small side, B on big side. Silicone Mod. Plus Profiles with 425 cc on small side, 375 on big side. Husband noticed asymmetry immediately post-op, it remains now 4 days post op. PS says it’s just swelling, I’m not convinced. Is 425 enough to get me from AA to full C on small size as I requested? Will reduction in swelling be enough to correct this dramatic asymmetry post op? Was wrong size implant used on small side?

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7 Doctor Answers | Asked by Sea 24

Doctor Answers (7)
Community Comments (1)

Breast issues

You had asymmetry to start with the left one hanging lower than the right. Give it time to heal and settle, but you may need a lift on the left.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Augmentation Asymmetry

Hello Sea, I am sorry that you are having this problem. This is not swelling. There are a few issues here that are causing this problem. Two issues were in the preoperative planning, the other two issues were in the execution of your surgery. Regarding the preoperative planning, your photo shows your native breasts with one more sagging than the other, and this is with your hands on your hips, causing a subtle lift of the breasts. This degree of breast sag is best... more

Post Op Asymmetry After Breast Augmentation

Thank you for your pictures. At 4 days post-op you are extremely early in the healing phase of your recovery. Your implants are sitting up rather high on your chest wall, which is not unusual. Right now there is a significant amount of inflammation and the scarring process is very active. Over the next 3 to 6 months the swelling and the scarring process will begin to subside and the soft tissues will relax and accommodate, allowing the implants to drop into their desired location. As this... more

Asymmetry

It is too early to evaluate this fully. You had a significant difference in breast position preop. Without a lift this will be true postop. The size difference will be less than before surgery. The implants will need to settle and then you can decide if the size match is satisfactory.

Michael Hueneke, MD

6 reviews

Nashville Plastic Surgeon

BA Post Op Asymmetry?

Though only a week post op YES I see the issue. 1. the size of the asymmetry was determined incorrectly. 2. You need a left lifting to complete the symmetry. Wait 3 to 6 months for revision. Sorry.

Breast Augmentation Asymmetry

Thanks for posting pre and post op pictures. It is very helpful in answering your question. The asymmetry is in your breast tissue, not the implants. You can see the same asymmetry in both your pre-op and your post op pictures. You have issues with your implants riding high and hopefully this will settle. However, this is not contributing your asymmetry. The asymmetry is due to your anatomy and requires a lift (mastopexy) component to your surgery to make... more

BA Post Op Asymmetry

As I look at the photos, I see that both implants are high riding (typical this early) volumes look pretty similar, though hard to assess with only one view left breast and nipple/areolar complex is lower The asymmetry that I see is the lower breast and nipple and areola. This was present on the pre-op photos.The nipple and areola are lower on the left, the breast fold appears to be lower, there is more breast skin and tissue. Implants alone cannot correct... more

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Comments (1)

Sea 24 15 Sep 2012

I found an incredible surgeon who completely changed the outcome. He was able to perform the revision at my request 7 days after my first augmentation. My breast look completely amazing now. He has over 35 years doing this. He was reluctant to do this so early but agreed to it based on my circumstances. He did 4 things:

1) Lowered the folds below the breast on both sides, this caused by breasts to fill out below the nipple.
2) Increased my right breast implant by an additional 50CC.
3) Performed a lift on my right breast only around the nipple, this aligned both nipples and took out most all of the sag below the nipple
4) Removed a hematoma and placed a drain in the left breast.

This mad was amazing, straight talk, seasoned and produced a completely different outcome, then my first surgeon. Who was relatively young,she was an expert at marketing herself but a poor artist. Most women fail to realize all doctors have the intelligence to make them a doctor but more important then that, do they have a 3 dimensional eye and the sculpting/artistic eye for creating a desired look?

I learned a lot through this process.

1) Doc's opinions on how to handle things are confusing because they are almost always different. This is because the Breast Augmentation is like a piece of artwork and the medical end of it is only a small part of the technique/approach. The larger piece is the artistic mind of the surgeon and how well the surgeon can translate your pre-op situation into that desired result you showed them on a picture. Not all Surgeons are master sculptors. Many are good doctors, most will never be amazing artists, the internet can be manipulated to hide bad results and reviews. The Doctors will logically not post their poor artwork.

2) Don't trust great marketing and learn to place a higher value in personal referrals and the Doctors years of experience.

3) Trust your gut. If the Doctor has a god complex or poor bedside manner go somewhere else.

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