One Breast Fuller and Bigger Than the Other After Augmentation

I got 450CC Mentor Saline Profile Plus 2 weeks ago and now I am very concerned because my left breast seems fuller and bigger than my right. Any advice on what I should do? Thank You.

Doctor Answers 11

Asymmetry can take 6 months to resolve

This type of asymmetry after surgery can be totally normal.  Your plastic surgeon can help you determine whether this is a normal part of the postoperative process, or represents a surgical problem that needs to addressed.  It take 6 months for the sizes to settle down.  If all is well, do not evaluate the results before that time.

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Wait three to four months

It is far too early to assess your results. Your breasts will gradually settle into a more natural breast contour over the course of three to four months. Settling can also happen faster in one breast. At that time, you can better assess your results. 

Breast Asymmetry Following Breast Augmentation

It’s not unusual for patients to note breast asymmetry immediately following breast augmentation. This asymmetry can occur for a variety of reasons but is often related to swelling which takes time to resolve. It usually takes about 4 to 6 weeks for enough swelling to resolve to make aesthetic judgments possible.

At three months, the majority of patients are happy with their symmetry and aesthetic result. It’s therefore important to be patient in the immediate postoperative period. It’s also important to discuss these issues with your plastic surgeon. Your surgeon can rule out more serious problems such as hematoma formation and hopefully alleviate your anxiety. This will ultimately make this a better experience for you.

Patience is key

Be patient - it takes four to six weeks to have an idea of what your final result will be. Best of luck.

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 76 reviews

Give it some time

Your right breast appears to be larger than the left. This is very normal 2 weeks post-op. Before surgery, your left breast was probably smaller and will take longer to stretch to match the right side. The right breast probably had more skin to begin with and that it why it looks bigger than the left breast. It takes about 3 months after surgery to see your final result. At 3 months is when the breasts have stretched and dropped to get your final after look.

You should be mindful that at 2 weeks post-op, you are at risk for a hematoma or a seroma. I would check with your doctor to just make sure that you don't have either of those.

Leo Lapuerta, MD
Houston Plastic Surgeon
4.5 out of 5 stars 27 reviews

One breast fuller and bigger than the other after augmentation

See the surgeon ASAP. You either have a hematoma or seroma or you were asymmetrical prior to operation. A photo of you before would help.

From MIAMI Dr. B

Breast Asymetry.

It is my impression that your RIGHT breast is the larger one. I am not sure if this is the one you are referring to. If you are truly referring to the left breast. it may be due to your  perception.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 54 reviews

Asymmetric Breast Augmentation

I agree with Dr. Rand. The VAST majority of women are asymmetric. asymmetry is the RULE of nature not the exception. While a mild asymmetry may not be readily obvious before surgery, once augmented it becomes obvious. I seriously doubt your surgeon failed to see such an asymmetry in the OR before concluding the operation and would like to explore other possibilities.

Before becoming anxious, I agree we should look for any readily correctable reasons for the asymmetry such as a seroma (fluid collection). If present, its drainage would greatly improve your appearance. Ask you surgeon for his suggestions.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 69 reviews

Asymmetry after breast augmentation

You do seem to be asymmetrical to a visible degree.  If you were very symmetrical before surgery, this might be fluid or blood around the implant.  You should go back to your doctor for a check and possible consider an ultrasound to check for drainable fluid.

Too early to judge result

This is a very frequent question and yes, early asymmetry is expected.  Give it time and the implant will likely drop and you will achieve better symmetry.   Right now continue to follow your plastic surgeons advice as far as wearing a bra and massage. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.