Breast Lift: Q&A

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Uneven Breasts 7 Weeks Post Op.

I had a breast lift with augmentation and I am very concerned that they are still uneven. I was told to expect the implants (which are silicone gel) to drop at different rates, however the left breast has a very different shape, the implant seems higher and a bit harder- when I massage them it isn't as flexible as the right breast. It is funny because initially the right breast was much higher. Could the implant have moved? Is this a sign of capsular contracture? Is this correctable?

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8 Doctor Answers | Asked by Austin8820 in Austin, TX

Doctor Answers (8)
Community Comments (3)

Breast Asymmetry after Breast Augmentation/Mastopexy?

Thank you for the question and pictures. Some degree of breast asymmetry is to be expected in the short and long term after breast surgery. I would suggest that you wait 6 months to evaluate the end results of surgery; you will find that significant changes take place during this time. If firmness of the breasts continues to be a concern, make sure you follow up with your plastic surgeon for evaluation ( rule out early encapsulation). Best wishes. more

Breast Lift Difference

You breasts look very good for so early in your recovery and I would agree that your symmetry is very good. It is still quite early in the healing process and you allow another couple of months for your implants to settle and soften.

Still early to judge the results

After breast augmentation and lift and breast will continue to change for a period of 4- 6 months. It is only seven weeks since you had your surgery and the asymmetry from the photos you provided is not significant. I suggest you speak to your plastic surgeon and give it more time and follow his/ her advice.

PHOTO: Uneven (asymmetric) results after breast lift with implants (agumentation mastopexy)

Your areolas and breast generally appear symmetric but the volume appears more upwardly displaced on your left. That together with your description of firmness lead to believe the muscle was imcompletely released or you may be develioping a capsular contracture. I would wait at least 6-9 months and perform one sided preferential exercises in the meantime if OK with your surgeon. Surgery maybe required but wait at least 6-9 months. see video

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Breast lift and shape

Asymmetry I am surre existed before your surgery, and so there will be some after wards. It is difficult to impossible to make them exactly alike. You are also very early post-op. I would give itmore time to heal.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Uneven Breat Shape Soon After Surgery

Breast augmentation with lift is more involved surgery than breast augmentation. Therefore, the swelling and healing process may take longer. From your photos, at this stage of your recovery, I do not see any major asymmetry or issues. My recommendation is to wait at least 6 months before making any rash decisions. In majority of patients, the unevenness will improve. However, please keep in mind, perfect symmetry is never possible!

Implants often drop at different rates

It's only seven weeks since your surgery and still early. You should be aggressively massaging both sides and possibly wearing a breast strap. You surgeon should be able to guide you through this. Give them a chance to settle. They look like they can still get into good position. Though most likely they will come out good, if they don't this is easily correctable.

The implants do not drop in different rate

Your right implant is in much higher position than the left side. This a common problem with the combined lift and mastopexy. Many surgeons will stage the lift and augmentation to get better and safer results. please discuss your concerns with your plastic surgeon .You may need to have revision surgery to lower the right implant .

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

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Comments (3)

Likelittletatas 17 Aug 2012

I am at 7 weeks today as well and having the same issue. I had a lift and went to 350cc's. My incisions have not yet healed and I have been on 3 different types of antibiotics, which affect everything in my being. Since I cannot workout I have gained weight which makes me feel worse. I am 5'0 tall and a size 2/4 . I went bra shopping bc I have to start back teaching and was not even close to successful! I was measured a 34dd!! I was an 34 a/b before... This has been a summertime nightmare, and I wish I would not have not messed with what god gave me... Any suggestions on how to help my problem, mentally, and physically!!!????
:-) trying to keep in good cheer

Socalchristy 5 May 2013

Hi,just wanted to say i am also 7wks post op, and my left Breast is also a little bigger.Be patient i know how you feel & it is frustrating not to work out,i walk a mile everyday,try that it will also help with Depression..Give yourself some time to heal also take pictures of your progress each week & follow what your Doctor tells you,Good Luck to you=)

redhead768 21 Jul 2012

Omg,, thank u for that question. That is what I am dealing with. I am right handed and that is the breast that doesn't look right. I have waited a life time for this surgery since it was NEEDED!!! I have had my surgery 7 wks ago, with a top notch well known plastic surgeon. I did the Mommy Makeover. A lot to correct, I am 5'6" 130 lbs. I do find that my breast hurt a lot.

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