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What's Wrong with My Breast Augmentation? Uneven and Weird Implants.

asked 1 year ago by June388 in San Francisco, CA
Latest answer by Otto Joseph Placik, MD
Question viewed 2,030 times
Tags: breasts, 250-299cc, 300-349cc, revision, uneven

I had BA Oct 27, textured hydrogel, under, transaxillary, R:320cc, L:290cc. 28 days later, both still look very uneven and weird. PS offer to do revision ASAP (as in right now!) such to reduce bleeding, but from what I've read it's better to wait 6 months before revision? What to do? I can't even decide which side looks better,R/L? Will the left crease drop? Should I massage textured hydrogel? How? I'm extremely unhappy and worried, Please Help.

14 answers to What's Wrong with My Breast Augmentation? Uneven and Weird Implants.

+2

Asymmetry after breast augmentation

As you can see by the many answers below, there are natural asymmetries in the breast that are NOT fixed by a breast augmentation.  This includes a difference in nipple height, which you appear to have.  If the right nipple was lower before the surgery, it will be lower after the surgery.  Many plastic surgeons like to point out significant asymmetries to the patient before the surgery so they will not be surprised that the asymmetry persists after the... more
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+1

Uneven breast results and timing of revision: VIDEO (breast massage)

In most cases, I advise my patients to wait a minimum of 6-9 months prior to considering revision because there can be significant differences in that time unless there is a more urgent concern such as a hematoma or wound separation. I would not at all describe your breasts as weird or uneven. Pre-operative comparison would also be helpful in this regard. In reference yo your bleeding comment, I am not sure what you mean. In my experience, with transaxillary approach, it may be... more
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Weird breasts

One month is not enough time to see your final result.  Breast implant surgery is dependent on many factors, some of which the surgeon can't control:  breast asymmetry, rib cage asymmetry, etc.  Suffice it to say that you should give at least 3 months for your body to soften.  As long as your scars are stiff and pink, there is still more softening to come.
Ricardo Izquierdo, MD

Chicago Plastic Surgeon
+1

What's Wrong with My Breast Augmentation? Uneven and Weird Implants.

Unhappy patient makes my think from the only posted photo of a POOR informed consent! You did not fully understand the risk/reward ratios of implant surgery. Is your result acceptable? - YES!. But if you do not like it than allowing months or years of settling will not correct your issues. From my view the transaxillary did not allow medial dissection of the pocket, also I bet you were asymmetric prior to the operation so the implant has magnified the differences. Best to obtain other... more
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Uneven Breast Augmentation

I would recommend that you wait.  This allows the tissues to heal and makes revision surgery less technically difficult.  The distance from your nipple to your crease is different for each breast. It would be interesting to see your preop photos to see if that situation was present but is now magnified because your breast are larger. Secondly, the pocket shape appears to be slightly different.  The surgeon will guided you as to which breast should serve as the model.... more
Earl Stephenson Jr., MD, DDS

Atlanta Plastic Surgeon
+1

What's Wrong with My Breast Augmentation (textured hydrogel, under, transaxillary)?

Regarding: "What's Wrong with My Breast Augmentation? Uneven and Weird Implants.  I had BA Oct 27, textured hydrogel, under, transaxillary, R:320cc, L:290cc. 28 days later, both still look very uneven and weird. PS offer to do revision ASAP (as in right now!) such to reduce bleeding, but from what I've read it's better to wait 6 months before revision? What to do? I can't even decide which side looks better,R/L? Will the left crease drop? Should I massage... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Wait it out for a while...

June, As far as breast augmentation goes, one month is not nearly enough time to see the final result.  You need to wait at least 3 months and preferably 6 months to see where the implants will finally settle out.  You also need to look at your pre surgery photos to see what differences in size, shape and nipple position of your breasts were already there.  The fact that your surgeon inserted different sized implants indicates that AT LEAST, the sizes of your... more
Kenneth R. Francis, MD

Manhattan Plastic Surgeon
+1

"Wierd Result After Breast Surgery"

I dont see your result looking "wierd" at all.  You have a slightly different shape on each side, due to the fact that you have differing amounts of skin on each side, so the breasts will "fill out" differently.  Nearly all women have this asymmetry. Your implants are still a bit high and the skin has not relaxed fully as of yet.  Many of these things will get better with time, and another surgery this soon would be a mistake.
John LoMonaco, MD

Houston Plastic Surgeon
+1

Mistake to have early revision

Hi June, It is very normal to have asymmetries after surgery.  Some are unavoidable, some improve with time and some need correction.  Fortunately, those that require correction are infrequent.  You will not see the "result" until at least 3 months, which is why patients and surgeons alike are best advised to wait at least 3-6 months before considering revision.  It is preferable to wait even longer.  A lot of things will "straighten themselves... more
Tracy Pfeifer, MD

Manhattan Plastic Surgeon

drpfeifer.com

+1

I would definitely wait awhile

My best guess is that the mild asymmetry the photos show is due  to asymmetry that existed before surgery. most people have some degree of asymmetry, it is normal, and it can almost never be completely corrected by surgery. i suspect that if you do nothing and wait six months, you may well decide that all is good and you may never need to have revisional surgery for this issue.      docs like to keep patients happy, but if you're not pushing for this... more
Bruce K. Barach, MD

Schenectady Plastic Surgeon

drbarach.com

+1

Before Surgery, My Breasts Were Different- They're STILL Different After Surgery!

If your breasts were significantly different before the surgery, they will be somewhat different after surgery.  That is just the way it is- perfection only happens in fairy tales.  Textured implants usually do not get massaged, but ask your surgeon what you should do. You did not mention what the surgeon proposes to do at revision surgery?  I assume that your right breast was the smaller one pre-op? What does the surgeon want to do- lower the fold on your right side?... more
Claudio DeLorenzi, MD

Toronto Plastic Surgeon
+1

Implant asymmetry

Breast implants are always a bit asymmetric and yours look within  normal limits.  Perfection can never be achieved.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Hydrogel implants?!

I have two other practices in Europe and I have  seen hydrogel implants  only there. Did you get your implants in the US? I am very surprised as we do not use them in the US. You do need a revision. The timing is up to you. They will not change. And after 6 months you will still need a revision. What you should do? You have two choices. 1) If you feel comfortable with your doctor go to him or her and ask them to do a revision. 2) Pick another plastic surgeon with... more
John M. Anastasatos, MD

Beverly Hills Plastic Surgeon
+1

Uneven breasts after breast augmentation

Without the benefit of before surgery photos it is hard to know exactly what the issues are. I suspect you had some asymmetry before your surgery because although the nipples are equidistant from the notch on top of the breast bone the left nipple is further away from the midline than the right. The crease under the breast is lower on the left than on the right and this also may have been present before surgery or the crease could have been disrupted during surgery. Disruption is more likely... more
Aaron Stone, MD

Los Angeles Plastic Surgeon

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