Breast augmentation results are uneven - is it fair to be disappointed? (photos)

Thanks for your question! I can see why you are frustrated, but I think it's important to point out a couple of things you may not notice. Your inframammary fold was lower on the one breast than the other even in your pre-op photo. Most importantly though, your shoulders are at a very different height. I wonder if perhaps you have a bit of scoliosis. These things should have been noted prior to surgery. I do think that you could benefit from a capsulorrhaphy on the one side to improve symmetry. Good luck!

It is hard to raise a breast so we typically will lower the breast that starts out higher. We do this by lowering the breast fold (the infra-mammary crease) which could have been done in your left breast. For small differences I usually don't lower the fold because lowering the fold is not without its own set of problems so if it is a small difference I usually will inform the patient of the asymmetry and agree to leave it alone and accept the small, normal difference in breast height.

This appears to be the case in your situation where the left breast started out higher than the right but not a big enough difference to take the risk of lowering your left breast. However, I think it looks like a much bigger difference in your breast height now in these photos and when you are looking in the mirror because of your underlying skeleton. In all photos but especially in the two after photos your right shoulder is significantly lower than your left shoulder and it drops your right breast and makes your breasts look like they are off much more than if your shoulders were even.

I would not try to lower the left breast fold to compensate for your shoulder discrepancy for reasons I mentioned above.