Uneven Breast After Lift and Augmentation Causing Difficulties Wearing Bra, What Should I Do? (photo)

I had a breast lift with augmentation 8 months ago but my breast looks more uneven. The left side has a 200cc saline implant and on the right a 180 cc saline implant. I can feel the implant on my right breast on the bottom right corner and my areola is closer to my sternum causing me problems when I wear any bra. The left side sits higher and harder then the left. I think it's has capsular contracture. Saw my PS today and thinks i need another surgery but i would be responsible for entire cost

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11 Doctor Answers | Asked by Katie05 in Los Angeles

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Uneven after augmastopexy with saline implants

Volume of the two implants is impercepatable. firmnes and contracture can require revision which is neither your fault nor the surgeons. most doctors will ask for you to pay facility fees. see what you can work out for the surgeons costs.

Concern about breast lift and enlargement results and revision costs

Your breasts were asymmetric before surgery and are still so to some extent afterward. However, the results are relatively good. Whether or not you have capsular contracture can't be discerned by your otherwise helpful photos. Some of your concerns are related to thinner tissue and the usage of saline implants as opposed to silicone implants, the latter of which should provide you with a better result on several issues. With regard to charges, that is an issue that should have... more

Uneven Breast After Lift and Augmentation Causing Difficulties Wearing Bra, What Should I Do? (photo)

Thank you for the pictures. it does appear that the right breast implant has bottomed out compared to the left and some kind of revision is required. A capsular contracture cannot be diagnoses on pictures, you would need a physical examination for that. As far as the cost go, my policy is that if revision is needed in the first year, I only charge anesthesia and operating room costs.

Uneven Breast After Lift and Augmentation Causing Difficulties Wearing Bra, What Should I Do? (photo)

I agree with a secondary operation. I do not charge a personal fee but only the costs of operating room and anesthesias.

Problems after Breast Augmentation and Lift

A couple of observations: The post op picture: If you did not tell me that the implants placed were 200 and 180 cc I would assume that the volumes are much larger than stated. I believe that they are. Preoperatively you had uneven nipple heights and it seems even after a mastopexy (lift) the heights are still uneven. If you have a capsular contracture this is best determined by a good clinical exam. Revisit with your PS. The cost of revision... more

Breast asymmetry

No two breasts are exactly the same. Your breasts look reasonable close on the photos considering where you started. Certainly some "tweaking" may get it a bit better but that requires another operation.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Augmentation and Lift - Uneven afterwards

The combination of a breast augmentation with a lift (also called an augmentation mastopexy or an "aug-pexy") is, i my opinion, one of the trickiest procedures to do. It involves combining the insertion of an implant - which can shift or settle - with tightening inherently loose skin (which is why you need the procedure in the first place). Some surgeons have resorted to staging the procedure; ie, doing the lift first and then, six months or so later, inserting the... more

Breast lifting with implants reulted in uneven breasts

Beast lifting with simultaneous augmentation is not an easy procedure and possible complications can be compounded. Nevertheless most plastic surgeons do perform them simultaneously after informing the patient of the pros and cons and possibe complications. It appears that you have developed a capsule on the left breast for which you will need to have surgery to correct it. Since it is only 8 months since your initial surgery if I were the surgeon I would only charge for the use of the... more

Uneven breasts after augmentation-lift

Your breasts look nice, certainly an improvement from before your augmentation lift. Reviewing your concerns, very well articulated, you will feel the implant at its edges, especially lower outer edges, because the implant is not covered by muscle in this area. This is OK, and normal. While one areola may be closer to your midline than the other, the areolae both appear to me along the breast meridian. Some bra styles will completely cover the areolae, others perhaps... more

Uneven lift and augmentation

Unfortunately problems after surgery can be painful and disappointing. Combined implants and breasts lifts can lead to unpredictable results and up to 1/3rd of patients will need a revision to correct these problems. Furthermore, any asymmetries that you had before the surgery can often be more exaggerated after surgery. It is good that your surgeon is offering to revise your surgery, but I am sure that you are disappointed for any costs associated with this surgery.... more

Asymmetry after breast lift/augmentation

Thank you for the photos.I assume that the right photo was your preop. An augmentation and lift procedure done at the same time is difficult and often requires further corrective surgery and leads to an unhappy patient. I stopped doing major breast lift (which you needed) and augmentation together years ago. I'm a much happier surgeon. I do the lift first and if the patient wants to go up in cup size, I do an augmentation 6-8 months later. In the last ten years, I had only three requests... more