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Uneven Nipples After Breast Augmentation

asked 1 year ago by Jaycee58 in florida
Latest answer by John E. Sherman, MD
Question viewed 925 times
Tags: nipples, drop, timing, uneven

I had a breast aug 3 days ago. I was previously a 34B and got 300cc smooth under the muscle Mentor silicone. Based on what I've read I understand that it takes a while for them to drop. However, the implant on my right breast has dropped and the left one is a very weird shape and extremely high up. Due to this, my nipples are completely uneven (they were fine pre-op). I just want to make sure that this is normal and that my breasts aren't gonna stay uneven forever. About how long will it take?

22 answers to Uneven Nipples After Breast Augmentation

Nipple-Areaola Asymmetry following Breast Augmentation

Hello and thank you for the question. There are several factors which can lead to asymmetries in nipple-areola following breast augmentation. Some of the more common causes include native asymmetries that existed pre-surgery which become more apparent following an augmentation, as well as different rates of descent of the implant following an augmentation. Occasionally, these asymmetries may be seen with complications such as a hematoma. In your particular case, it is difficult to... more

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon

www.BeverlyHillsCosmeticSurgeon.com

Uneven nipples three days after brest augmentation may signify a problem.

Since you did not have nipple asymmetry pre-operatively, such a significant difference now may be a sign of bleeding in your left breast. OR, it could be due to muscle spasm forcing the left implant up higher in the submuscular pocket, whereas the right one is already comfortably "down" in its own pocket. You may be right handed, and even the slight differences in hand usage can be part of early post-op asymmetry. Whenever one of my patients calls me with this concern, I ask... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Nipple height

It is almost impossible to comment on a result three days after surgery. Each breast might have different amount of swelling accounting for this problem. Certainly your breast will change over the next 2 to 3 weeks. If nipple asymmetry continues, it will be best to address this to your surgeon and asked for an explanation. This might have been a preoperative problem that was hardly noticed because of her small breasts, and magnified because of the large size of the implant that might have... more

John E. Sherman, MD
New York Plastic Surgeon

3 days after surgery is early

Assymetry early after surgery is often accentuated by the swelling and tight submuscular pocket. The tight pocket often drives the implant superiorly. As swelling subsides and your tissues relax the implant will often descend into a better position. You can help it along with specialized garments to push the breast inferiorly. This is worthwhile doing consistently in the first 6 weeks before the pocket fully forms and seals the implant to its final position. more

Chen Lee, MD
Montreal Plastic Surgeon

Uneven Nipple Correction

Asymmetry before surgery or asymmetrical placement of an implant, especially when the implants are placed under the muscle, occasionally one implant may go higher. This will create shape and also nipple asymmetry after the procedure. Usually a high riding implant can be massaged and there is a good chance that it will drop to a regular position, if this doesn’t happen it will require a second surgery to lower this implant to where it’s supposed to be.

S. Ozan Sozer, MD
El Paso Plastic Surgeon

www.elpasoplasticsurgery.com

Breast assymetry and breast augmentation

Dear Jaycee, 3 days post breast augmentation is very early and the shape and symmetry of your breast will probably improve with time. breast massage and wearing a compression garment, such as an ace wrap, can help speed the process. Do more massage on the tighter/higher implant, especially pressing on the upper pole of the implant. This should help stretch the tissues in the lower pole of the breast. Check with your doctor to see when he/she would... more

Vincent D. Lepore, MD
San Jose Plastic Surgeon

www.vincentleporemd.com

Uneven nipples

Since you are only 3 days post op i would be patient.You may want to wear a bra for support so the implant doesn't drop more.Also a strap across the top may keep the one from riding too high.

Robert Brueck, MD
Fort Myers Plastic Surgeon

Nipple position after breast augmentation

I am sorry you are having trouble at this point. Luckily your are only 3 days post op. What you are seeing now rarely is representative of your final outcome. It takes at least 6 months to see a final outcome. Most of the changes occur over that first few weeks, but your breasts will change in shape and position over several months. That said, you should confer with your surgeon. There are issues that could cause your nipple position to change that can be... more

Gordon Lewis, MD
Richmond Plastic Surgeon

Talk to you surgeon

I can see all different advice you are getting. The easiest thing to do is to call your doctor and arrange to see him to address your concern.

Moneer Jaibaji, MD
San Diego Plastic Surgeon

It takes time for surgical results to finalize...

At three days, it is far too early to judge your results. Follow your surgeon's postoperative instructions, particularly when it comes to brassiere, upper pole straps, and activity level. Many times it can take 3 months before you see the final results. Give yourself some time to heal and if the issue persists you will likely find that your surgeon brings up the issue before you do!

David Bogue, MD
Boca Raton Plastic Surgeon

Breast implants 3 days post-op

Being that you are only three days post-op, you have to give it some time for the implants to both be in the proper pocket position.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast Implants - Malposition at 3 Days Post-Op

HI Jaycee58 in florida, You should, of course, remain in constant contact with your own plastic surgeon regarding this, and any other, postoperative issues. It is common for submuscular implants to descend slowly and for there to be a difference at this early stage. It can take up to several weeks or even months, for them to descend fully, and to be able to judge the final result. It is occasionally necessary to do a revision to reposition one or both implants but,... more

Alan Engler, MD
New York Plastic Surgeon

Uneven nipples after breast augmentation

It is extremely common for implants placed under the muscle to descend into position at different rates. The nipple asymmetry you are experiencing is due to the difference in implant position. Your nipples were not moved during this operation. A velcro strap may be helpful to hasten the descent of the implant that is too high. Ask your surgeon about massaging the breasts as well. Wishing you all the best, Talmage J. Raine MD FACS

Talmage J. Raine, MD
Chicago Plastic Surgeon

Asymmetry

Its normal, its routine. Do not be overly alarmed. One implant will typically drop quicker than the other and implant position will directly affect positioning of the nipple. Unless you are having significantly greater swelling with increased pain on one side, I would not suspect you have had any bleeding. When in doubt, see your PS.

Marc Schneider, MD
Fort Myers Plastic Surgeon

Asymmetrical nipples after BA

Some asymmetry after a BA is not unusual, but what you are describing does not sound quite like the usual asymmetry. I presumeyour breast shape is not changing as we speak so active bleeding is not a concern, but you may have had some bleeding that stopped. This could account for your displaced implant. You should call your plastic surgeon very soon to have this checked on. You may have nothing to worry about. A physical examination by your surgeon is needed to... more

Lori H. Saltz, MD
San Diego Plastic Surgeon

Uneven nipples three days after augmentation

If your nipple position was even right before augmentation, and indeed one implant is high up and the other in a fairly normal position I feel that you have a problem and would not suggest that you wait to see if the implant will 'drop'. Breasts should be even after augmentation, and 'dropping' only refers to a tight skin envelope in the lower breast which relaxes over a week or so with the help of a breast band. Your high implant speaks to bleeding, or a poor pocket so... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breast augmentation

I would give it some time to see if the other side drops down. Without any complaints of pain or the higher breast appearing larger a hematoma would be unlikely. You should be seeing you plastic surgeon soon for a check up so ask him/her what they think when you see them.

David E. Kim, MD
Beverly Hills Plastic Surgeon

Nipple & Breast Asymmetry After Breast Augmentation

Dear Jaycee58 in florida: Breast and nipple asymmetry is common 3 days after breast augmentation; however, you are describing more than just nipple asymmetry. Please call your plastic surgeon and let them know what is going on. A visit to the office will be more fruitful than educated guesses. ;)

Joseph Mele, MD
Walnut Creek Plastic Surgeon

Mommy Makeover: Is it Advisable to Stay n Hospital Overnight?

I do not agree with my esteemed previous colleague posters. I recommend you call your surgeon immediately to be seen. I'm concerned if you had no asymmetry preop than are very asymmetric post op as you describe, that you may have a serious issue (hematoma?). Please be seen

Darryl J. Blinski, MD
Miami Plastic Surgeon

Uneven nipples after surgery

Be patient. give it a good three months before getting concerned. my guess it will probably be fine or easily corrected.

Jonathan Saunders, MD
Newark Plastic Surgeon

Uneven Nipples Right After Surgery

It is common to see lots of differences early after surgery, because swelling and other healing factors do not proceed symmetrically. Nonetheless, do check with your surgeon regarding any and all concerns to be certain that what you are seeing is normal.

Paul C. Zwiebel, MD
Denver Plastic Surgeon

Healing process

Most patients' breasts do not heal symmetrically. It is normal to have one breast looking different than the other at this point in your healing process. It is too early to see your final result and unpredictable as to when they will "even out". Be patient, they are going to change alot over the next couple of weeks.