Uneven Breasts 6 Months After Augmentation - Revision Needed?

I had 265cc's under muscle. My left breast is now visibly larger than my right. My doctor says it's because the right hasn't dropped enough and that the shape will match the left once it does-i.e. the weight will fall more towards the bottom and nipple will come up. Is this possible after 6 mos?

Doctor Answers (10)

Uneven breasts after implant surgery (photos/pics)

+1

YOur results appear to demonstrate the settling and dropping of your left breast implant relative to your right. My advice would be to wait until 9 months but it is my opinion you will require a left sided breast implant capsulorrhapy and possible implant downsizing.


Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

Time to fix the issue

+1

Your result is unlikely to change after six months.  At this point to achieve symmetry you will need revision surgery.  Revisit with your surgeon and possibly get several other opinions from board certified plastic surgeons in your area.

Good Luck.

Dr. ES

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Breast implant revisions

+1

Although the photo helps, I would agree with others who indicate that it's not possible to judge the cause or degree of asymmetry based on the one view which is not quite a straight front shot. 

If the left side is settled and correctly positioned then the right side was probably held up by blood or fluid in the pocket that kept the implant too high during the healing and settling process. It would be acceptable if the left side matched it but the two look different because of where the implants healed. 

Generally the tissues are recovered by two to three months after breast augmentation and further time after six months isn't going to accomplish anything. There are exceptions. What I use to judge this is to check monthly after the 2-3 months and if there is no change with either side then assume it's not going to change. If it's still changing then it's best to wait even the full year. 

If the implant on the right remains too high relative to that on the left, the solution is to use an inframammary crease incision approach, remove the implant temporarily, open up the capsule over the entire lower pole (capsulotomy), leave the inframammary crease in place (assuming it was even), and replace the implant. Watch for blood or fluid collection in the space after the procedure as this could cause the problem to recur. 

Scott L. Replogle, MD
Denver Plastic Surgeon
4.0 out of 5 stars 1 review

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Breast Implant Revisions

+1

Thanks for including your pictures.  If would be nice if you had pictures from a few different angles.  At six months, the implants are pretty much settled.  It would be interesting to see what your pre-operative pictures look like to evaluate for any pre-operative asymmetry.  However, secondary surgery may be able to help with the asymmetry, but as with most patient, it is impossible to make you exactly symmetric.  Good luck with your recovery.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 57 reviews

Revision needed

+1

YES! Sorry. Seek opinions from boarded surgeons in your area or return to the surgeon. You chose. BTW thanks for the photo, it helps.

From MIAMI DR. B

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

Your implant position will likely not change after 6 months

+1

Your photo is not exactly face on, but it appears to me that your implants are indeed somewhat asymmetrical with the left implant being lower than the right. This causes your left nipple to be positioned higher on the breast mound. I think that your left crease is correspondingly lower than the right, and that probably these differences will not change with time. Correction would require either lowering the right implant, raising the left implant, or both. Usually this works, though there is some risk of the implants again being different. Incidentally, all plastic surgeons who perform breast augmentation will have occasional problems like this that require a touch up. Good luck! 

Michael D. Yates, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 4 reviews

Breast asymmetry

+1

Breast asymmetry is the norm rather than the exception. Without seeing your pre-op photos it is hard to say what you need.  If you want the right breast lower, you may need to go back into the OR to try to lower it some more.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Breast settling after implants

+1

You have significant asymmetry between the breast implants/ inframammary folds.  This still may settle.  I would give it up to 6 more months.

Scott E. Kasden, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 49 reviews

Breast implants do not drop.

+1

Hi.

1)  The folds under your breasts are even.  So you wouldn't want the left breast to drop.

2)   You may have had some asymmetry before surgery.  I think your left nipple will always be a little higher.  In any case, your breasts will not change on their own. You can consider a  revision breast augmentation, but you don't have a bad result.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

After six months a augmentation mamoplasty result is usually complete and unlikely to change with time

+1

As I look at you photo it seems that your left breast has bottomed out. This probably is because the implant has dropped bellow the inframamary fold. You left breast looks like is has settled in the right place with the nipple on the median of the breast with half the breast tissue above the nipple and half bellow. I believe that the best course of action would be to raise the left breast with by creating a new pocket and most likely using silicone gel implants that are textured. That probably means addressing both breasts. To be certain as to what is the best course of action, I would recommend you get a second opinion from a board certified Plastic Surgeon. 

Carl W. 'Rick' Lentz III, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 13 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.