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Uneven Nipples After Breast Augmentation and Lift
I recently had breast lift and implants (200 cc, 1 cup size bigger, age 26 no kids) 2 weeks ago, and my nipples look like something out of a child's coloring book. They're completely uneven, choppy, and not at all near perfectly circular. Will these eventually fix themselves? I also thought the breasts would be higher. Does this look like a well executed lift?
Asked 34 months ago by
ajonesca in santa monica, ca
Uneven Nipples After Breast Augmentation
+2
Excellent result in early phase of healing
You have an excellent result and are still in the early phase of healing. Don't spend too much time obsessing because they will improve dramatacally in the next few months. I usually tell my patients that scars look their worst between 2 and 3 months. It will take 4-6 months before they look good. Asymmetries can easily be fixed with a monor procedure under local anesthesia.
+5
Yes, you are uneven. But you are far from seeing your FINAL result.
Like most of my colleagues, I am going to ask you to relax and let things heal before rendering final judgement on your plastic surgeon's work. Your mastopexy augmentation looks very well done, by the way.
Let's address your concerns as listed. First, uneven nipples. The irregularity around the suture line is due to the sutures, and as they dissolve and the tissues heal and the scars mature, this will settle to a degree that is quite good for most patients (everyone IS...
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+5
Breast Asymmetry
Yes, you are asymmetric and yes you can be corrected if need be. When I do combination breast augmentation/Mastopexy, I will allow three months to pass before any reasonable assessment can be done. This will allow enough time for your soft tissue to settle and allow your skin to relax. If after that time you still notice asymmetry a corrective surgery can be safely performed. Remember of all the cosmetic surgeries we perform this particular on...
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+3
Uneven Nipples after Lift and Augmentation
I concur. It is really too early to early to judge. Your photo looks pretty reasonable for just two weeks post-op. The nipples usually look somwhat artificial early on. Also nipples are not perfectly circular and perfectly even in anybody in real life and you should not expect them to be that way after surgery..................As speaker after speaker stated at the most recent ASPS meeting, Augmentation/Mastopexy is one of the MOST difficult operations we do. Many surgeons do them in two...
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+3
Nipples Uneven After Surgery
The good news is that it is really much too soon to judge the final appearance of your results, including the size, shape and position of your nipples.
The "bad" news is it will take some time (months) to allow enough healing to judge if all is well or if some adjustments are desirable.
For now, discuss your concerns with your surgeon and try your best to hang in while healing progresses.
+3
Recovery from breast (any) surgery
Dear Ajonesca, So far so good! Recovery from any surgery is always different in appearance in the first few weeks after surgery. Your surgeon will know best how things are coming along- as planned or not. From you photo things look like they are progressing well. The details you are pointing out are excellent and you are very astute as to the result you would like. You will know better by the 3 to 4 month mark. Follow up with your surgeon and haiving your questions answered will help...
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+3
Need time to allow the breats to achieve their final shape
Your lift looks fine for one week post surgery. Symmetry is the curse of plastic surgery. If you only had one breast then there would be nothing to compare it to. Prior to a breast lift careful measurements are made in an attempt to achieve symmetry and a nice result. The fact is that despite performing the exact same procedure on each side the two breast will heal at different rates. One side will always drop faster, have less bruising and hurt less. In time things will even up. In...
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+3
Looks good, not perfect
You are obviously recently post op. Overall the size, shape and symmetry of the breasts looks very nice. I agree that the left nipple is lower than the right, but I feel that the shape of the areolas looks nice. This is a very difficult operation to get a nice result, and you have a very nice result. It will get better as the wounds mature.
The nipples may or may not even out over time. If not, you may ask your doctor to raise the left one (difficult to lower a high nipple). This is...
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+3
Areolas are swollen early on.
Hello
All areolas are swollen early on and it will take a couple of months for all the swelling to disappear. Please remember that areolas are not perfectly circular in any woman. They have a slightly irregular shape with pigment fading out from them.
From the photo, it looks like the breasts have a good shape and the nipples are in good position. I am not sure what you mean by having the breasts be higher. The upper portion of your breast would be right under the collar bone and the...
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+3
Scar therapy and time will positively influence your result
It is difficult to for patients to judge their results following an augmentation mastopexy at two weeks postop. Some irregularity around the nipple is not uncommon early as we take up the extra skin in this area. Time will likely help this. Different physicians use a variety of methods to expediate scar improvement. This would include the use of massage of the scar, silicone gel sheeting, taping, as well as various emollients.
The position of the implants will change slightly as the wound...
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+1
Asymmetry after breast aug and lift
Hello,
It's hard to rate the result of plastic surgery sometimes when its neither an A+ nor an F. I think additional time for healing is needed. From the front view the thing that jumps out the most is the left breast nipple/areola is a little too far to the side and down. The asymmetry can be easily fixed if you decide to do so in the future.
All the best,
Dr Repta
+1
Uneven after Breast Augmentation / Breast Lifting surgery
Please allow yourself time to heal. It is obvious that the photos posted are in the early phase of the recovering process. No one will ever guarantee 100% perfection after any cosmetic procedure so please beware. When comparing the before photos to your after photos, you can see that your surgeon has done a nice job - you can see that there was breast asymmetry before surgery.
Things will continue to change as you heal. You look good. You should be happy!
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+1
Great breast lift
I agree with many above, they look GREAT! I see the asymmetry- did you have any pre-existing asymmetry? After you heal and things are settled you will notice that the scars will fade considerably . If the areolas are still off that can probably be fixed. I think you have a great improvement and a great result.
+1
It looks great!
Although there was a slight asymmetry in your breasts, result actually is quite good. At this time, two weeks after surgery, it is impossible to tell the following result. This may take several months after surgery, and I am sure that they will do well. So be patient, wait several more months, and speak your surgeon about the result.
+1
Wait and See
At this point you are too early out to determine - you need to be patient because it definitely takes weeks even months for things to settle out-keep consulting with you Dr.
+1
Breast asymmetry after surgery
As you can see by the consensus here amongst the many answers... you have a pretty nice result for two weeks after surgery. It takes time for surgical scars to settle, for the final shape and size of your breasts to appear. Given 3 months, I would predict you will see a great result. Scars will settle down, the breasts will settle down a little bit. Your two breasts will never be identical and that is normal. Nobody is perfectly symmetrical. Think of them a
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+1
Give your body time to heal!
It looks like you have had a well-executed augmentation/mastopexy, and now you need to give yourself time to heal. Post-surgical swelling causes some distortion over the first several weeks, and this will sometimes change from one day to the next. You have some mild asymmetry at this early postop time, but certainly well within the range of normal anatomic variability. It is possible that revision surgery will be appropriate down the line to adjust for persistant...
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+1
Breasts after a breast lift
It is normal in the beginning for things to seem uneven. It seems most of the doctors that have responded to you already are in agreement, you should give it a little time to settle. For only being two weeks post op your scars actually look to be healing nicely. I hope your recovery goes well. Also, never fear, revisions are usually a great possibility. Good Luck!
+1
Breast symmetry after surgery
It takes at least a month for things to settle after your type of surgery. Combining breast implants with breast lift is a challenging surgery, it takes expertise and talent to achieve the desired result. Your mild asymmetry could very well improve over time.
Even thought you were asymmetrical after surgery, your desire for more symmetry is not unreasonable. In my practice we strive for beautiful shape and symmetry in all patients. On occasion if the result...
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+1
Concerns about appearance after breast lift / augmentation
I think the responses and general positive nature of the surgeons' responses should put you at ease. Two weeks after surgery is certainly no time to be evaluating your result after a procedure as complex as a breast lift combined with augmentation. Many of the concerns you have will certainly improve over time as long as you listen to the advice given to you by your surgeon for proper postoperative care. Certainly your concerns can be addressed by the surgeon who...
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+1
You appear to have a very good result
Your photographs show a very good result. You are asymmetric, with your left side being lower physically. Check your shoulders and compare their heigh. That said, you have a beautiful contour. The uneveness and choppiness is due to tissue swelling and this should correct itself over the next 6 months. To me, your shape and roundness is as good as it gets. Give yourself time to heal.
+1
Uneven nipples after breast augmentation with lift
When a patient has an augmentation with a lift, I advise them that it really takes 6 weeks to be able to tell what their results will look like, and up to 6 months for the sutures to dissolve to determine the final shape and size of the areola's. That being said, you are only 2 weeks post op. Your left nipple areola looks a bit lower than the right, but the implant may still be settling, and things can change.
If you still have uneven nipples after 6 months,...
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+1
Breast augmentation / lift results
The breast augmentation / lift is one of the more challanging procedures to get 100% perfection. The surgeon not only needs to lift and shape the breasts but needs to do all that and respect the nerves and blood supply. You are only 2 weeks post-op. Be patient, there is still some healing and relaxing of the tissues that will continue well into the 6th to 8th week. Slight asymmetries will always exist. The amount of lift or height of the breast is limited by your inframammary fold (the...
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+1
Breast lift and asymmetry
First, no two areola are exactly the same or round. In fact many are ovoid. Second, no two breasts are exactly the same. Some asymetry is normal and it is IMPOSSIBLE to get them exactly the same. Your breasts look very nice especially when compared to your pre-ops. Be patient and let them heal.
+1
Time and realistic expectations needed for breast augmentation and lift results
I would give more time for the breast to settle down. It already looks pretty good but few things wil change in the next few weeks or so. Give it time and do not stress out about it. Plastic Surgery is a science and art. 100% results simply do not exist. Best of luck!
