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Will my Asymmetric Breasts from Breast Implants Even out Eventually?

asked 3 years ago by bmoral85 in germantown, md usa
Latest answer by Jeffrey Weinzweig, MD
Question viewed 20,064 times
Tags: side effects

I recently had silicone breast implants about 7 weeks ago. I have the left breast which is fuller more side cleavage and the nipple is higher than on the right side its not as full and the nipple is much lower.

The right breast had problem closing the incision which was in the nipple. Will it even out? I also have rippling underneath the right breast but only when I bend forward. Thanks!

12 answers to Will my Asymmetric Breasts from Breast Implants Even out Eventually?

Many causes of asymmetry after breast augmentation

Post-operative asymmetry is dependent on many things, most importantly, the presence and nature of asymmetry pre-op. It is most common and natural to have some asymmetry of the breasts, and this can be related to size, dimension, chest wall (i.e.ribs and muscle), degree and location of laxity or sagging, position of nipple relative to breast and relative to your chest, presence of scoliosis, etc. It is also very common for breast implants to sit asymmetrically once implanted by the very... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Asymmetry may have existed before augmentation

Discuss your concerns with your surgeon. It is almost certain that the asymmetry existed prior to surgery, only on a smaller and less visible scale and should be visible on your pre op photos. In a real sense, what you BRING into the o.r. is what you GET BACK--only larger.

Barry H. Dolich, MD
Bronx Plastic Surgeon

Breast Asymmetry: Before and After Augmentation

While it is impossible to know with certainty without seeing your pre-op photos, you may have had some asymmetries prior to the surgery. Breast augmentation surgery can actually accentuate nipple asymmetry. As for the rippling, this may be due to underfilling of a saline implant that had a base diameter that was wider than it should have been. However, this is rare with silicone implants and what you might be experiencing is a “double bubble” sign which can occur following... more

Jeffrey Weinzweig, MD
Chicago Plastic Surgeon

Improving breast asymmetry after breast augmentation

Your breasts seem to have significant edema postoperatively. This is normal and will resolve with time. Asymmetry of the nipples and areola, however, may be preexisting and may not be entirely corrected after surgery.

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

Breast asymmetry: time and managment with implants for augmentation

SEE VIDEO BELOW: It often takes 6-9 months for breasts to settle. This can be especially true if interventions to correct pre-existing asymmetry. If I have performed breast asymmetry operations, I will typically ask patients to wait at least 6-9 months before contemplating any revisionary procedures. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Implant changes

It would be interesting to see your pre-op photos, but more than likely you have asymmetry. The implants will settle with time and you have to be a bit patient. This process can take several months. Also in terms of rippling in the lower pole, this is can happen when you do not have a lot of soft tissue coverage. Most implants can be palpated there because if they were placed in a submuscular pocket the muscle would have been detached at that spot. Definitely review your concerns with... more

Steven Wallach, MD
Manhattan Plastic Surgeon

Your implants will settle

Bmoral, There are some asymmetries visible in your photo. First, I would return to your surgeon and ask to see your pre-surgery photos. Some of the asymmetries may have been pre-existent. That is not to say they are not correctable. Wait another 4 months for the tissues to relax and the implants to settle. You may be happy with your result at that time. Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon

www.francisnyplasticsurgery.com

Augmentation results improve over several months

Bmoral85, After augmentation, particularly with a very full implant there is a settling or a "melding together" of the implant and the skin envelope and tissues within the breast. The large implant has challenged the skin to adopt a fuller shape. In the first few weeks after augmentation the skin can feel firm and swollen, and over the next three to six months the tissues relax to acommodate the implant, the softness and form improves as the implant and breast begin to work and... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Don't rush into any revisions.

Bmoral85, It is hard to comment on your results without seeing your before pictures as well. However, your right implant looks like it is riding higher than the left. The results in less volume filling the lower portion of the right breast, so when you lean forward, you are experiencing rippling. Also, the diameter of the implants used look like they are too wide for your body type. I agree that you may benefit from a moderate profile plus or high profile implant if you want the same... more

David Shafer, MD
New York Plastic Surgeon

Wait, then some breast augmentation revision later

It is important to compare these pictures to the pre op pictures to be able to know what needs to be done next. In general, I would recommend that you wait for few months until things settle down. Following that you will need some revision or accept a small asymmetry. It also looks like you went a little bigger then the diameter of your breast. I would study these pictures with your board certified plastic surgeon and comapre them to the pre op to be able to have a good plan. Hope that... more

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

Asymmetric Breast Augmentation results may even out

At 7 weeks, you are getting close to a final result, but you may still see improvement for up to a year. I would recommend that you visit with the plastic surgeon and review preop photos to begin with. Next, ask him if there are massages/exercises that you can do to help the process along. Dr. Beraka raises some interesting points. When I re-reviewed the photo based on his input, I noticed that you have some scoliosis, and this will affect the symmetry as well. In any event, if you choose to... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

Unfortunately, some asymmetry will be permanent.

To bmoral85, Hi! Your breasts don't look bad, and you should certainly not do anything for 6 months. But then, I think you will have to choose between accepting some asymmetry or having a revision. It looks like you will need : 1) closing the left implant pocket on the outside so the implant doesn't hit your arm 2) lowering the fold under the right breast slightly 3) using a slightly smaller implant on the left ( or a slightly larger one on the right) 4) I cannot tell from the... more