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Uneven Breast After Augmentation. Will my Doctor Fix This? Do I Have Pay Again?

asked 1 year ago by keli_ta in Glendale, AZ
Latest answer by Joseph M. Perlman, MD
Question viewed 1,142 times
Tags: fees, uneven

I had my breast done on January 5th,2011. Almost 3 months now I still feel that my right breast is bigger than the left one. I also think that they are different shape. When I told my dr about it. He said that my right/b was bigger with one teaspoon and was not a big deal. But I can see that they are different size and shape. I was a B/C. he put 440 on the L and 435 on the R. Will he fix this at no cost or I have to pay for it if I asked him to redo it? my breast were always different size befor

15 answers to Uneven Breast After Augmentation. Will my Doctor Fix This? Do I Have Pay Again?

Most patients aren't perfectly even

When patients seen in consultation, I tell them, I don't do "perfect", but I do make them look better. As one or the other physician stated, patients aren't symmetric. One of my esteemed professors Dr. Frank Gerow, a brilliant plastic surgeon and will one of the developers of the breast implant, once said to me that if you point out imperfections to a patient before surgery, they are considered an anatomic variant. If they point them out to you after surgery, it's your... more

Joseph M. Perlman, MD
Houston Plastic Surgeon

Asymmetry is normal. Nobody is perfectly symmetrical

Your pictures show a very nice result. You were not perfectly symmetrical before surgery (nobody is) and you are not now. Certain features of your breasts do not change by the addition of extra volume (implant), your breasts (with all their asymmetries) just get bigger. Before surgery you were used to the way your breasts looked and you did not see the differences, or if you did you didn't really pay much attention to them because you were used to them. Now that... more

Martin Jugenburg, MD
Toronto Plastic Surgeon

Asymmetry is accentuated following breast augmentation in most cases!

You had a mild asymmetry to begin with and a mild asymmetry following breast augmentation. This is not unexpected as all breast are asymmetric. The thing that wyou really need to think about is the fact that with each surgery the risks such as capsular contracture increase to more than double. Therefore, since you have a very aesthetic result with an asymmetry that is likely no more than what you had prior to the implants (assuming the implants placed are the same size), I recommend... more

Kimberley O'Sullivan, MD
Boston Plastic Surgeon

Uneven Breasts After Augmentation

Thank you for posting the photos. First, this is a very good result and at three months you are still healing. Second, any preoperative asymmetries may persist post-operatively. As plastic surgeons we strive for symmetry, but we cannot guarantee perfect symmetry. I personally don't think you should have a revision as it potentially introduces a set of potential complications, such as capsular contracture, bleeding, and poor healing. Even if these risks are low, they still exist. As far... more

Babak Dadvand, MD
Los Angeles Plastic Surgeon

Who pays for redo of uneven breasts after augmentation?

As my colleagues have already stated, your breasts did not start out exactly symmetrical, and the difference now is present, but truly minimal. What is NOT minimal is your anxiety over this, which should be less at least until everything has completely healed, settled, and softened! Even when we perform the same exact operation on each breast, EVERY patient has some difference in the swelling, bruising, discomfort, firmness or softness, position, sensation, and shape between the breasts.... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Asymmetry after Breast Augmentation

No two breasts are identical. Review your before surgery photos to remind yourself of your natural pre-existing asymmetries. Your photos do not suggest any need for revisional surgery.

Stephan Baker, MD
Miami Plastic Surgeon

No one is completely symmetrical

I agree with other comments. You have a very good result. I personally do not see the asymmetry that you do. I would caution you not to make conclusive judgements and/or decisions so early in your postoperative course. your result is going to change more over the next 6-9 months and if you make a judgement now, you could be in error. Give it time and then after 9-12 months you feel the same way, discuss it with your plastic surgeon. We all want our... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

You have a great result

I agree with the other postings that you have a great result. There is always a small degree of asymmetry. I like to say, "they're sisters, not twins." Nonetheless, it is always important to chat about your concerns with your surgeon.

Christopher J. Davidson, MD
Wellesley Plastic Surgeon

Uneven Breast After Augmentation. Will my Doctor Fix This? Do I Have Pay Again?

From the so kindly posted photos, to me you have an excellent result. Very "minor" differences. The issue is realistic expectations. IF you have saline implants & could additional saline be added to the left- sure. But look at the risks. Infection, capsule formation. And if silicone than a new implant is needed, which has a cost. I would discuss these issues in detail with your chosen surgeon and if you still desire a "fill up" than go ahead, the risk now fall more on... more

Darryl J. Blinski, MD
Miami Plastic Surgeon

Symmetry after breast augmentation

The truth is that almost everybody has one breast that is slightly different from the other, either is size, nipple position, and skin envelope shape. Breast augmentation can adjust for some differences, though if you look hard enough, one breast will still have a characteristic or personality different from the other. Your photo and result look quite good. Perfect is hard to come by. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Breast Augmentation Asymmetry

No surgeon can ever guarantee perfect symmetry with breast augmentation. As others have mentioned, all women have some type of difference in size, shape, or position of their breasts to begin with. These minor differences may become more noticeable with a larger, augmented breast. I won't try to convince you that whatever asymmetry you have is hard to see, but I will also add that given the pictures you submitted, your breasts appear fairly even in size and shape to me. When it comes... more

Derek Lou, MD
Houston Plastic Surgeon

Asymmetry

They look pretty even to me. All women's breasts are asymmetrical pre op and post of there is still some unevenness. I think you are looking to critically at your breasts. They may still settle a little, but the results looks more than acceptable.

William B. Rosenblatt, MD
New York Plastic Surgeon

Perfection isn't possibel for most patients

Especially when you know that you had preop asymmetry, there can be no true perfection from BA surgery. There's only so much the doctor can do. The rest is your body. It is hard for some patients to accept this but it is necessary or you will never be happy. Give the resuklt another 6 months and try not to focus on it. Ask any plastic surgeon and they'll say your result looks just fine. Revsion carries some small risks and isn't worth doing... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

Breast augmentation asymmetry

This looks like a very nice result with a very minimal difference in size. If you were mildly asymmetric prior to surgery, you will remain asymmetric after surgery. I would not advise undergoing surgery again for any size changes. Stay with your doctor and allow him to continue to monitor your progress. Best wishes, /nsn.

Nina S. Naidu, MD
New York Plastic Surgeon

BA Question

It is very difficult to see a difference in size and also it would be helpful to see your before photos-most patients have asymmetries that are difficult to compensate for 100%. Overall the result looks good and you are also only 3 mos post-op. I would advise with your doctor and remain realistic given what you looked like before your procedure. There is no such thing as perfection.