4 Weeks Post Op Concerned with Asymmetry And/or Possible CC? (photo)

I had breast enlargement 4 weeks ago. I am concerned about the asymmetry and/or possible CC of left breast as I have pain on that side on being touched.Having now scrutinised my preop pics I believe I can see asymmetry but this was not mentioned prior to my surgery or what might have been possible to correct it. Is the asymmetry likely to improve at all over time? How bad is it in your opinions? Very sad Do all CC require surgery?Thank you 300cc Eurosilicone implants Subglandular placement

Doctor Answers 11

What do you think of my breasts?

You have a great result, and the asymmetry you see was present before surgery whether or not your surgeon mentioned it.  Focus on getting clothing that will help make the most of your new body.  Life is short, start enjoying some return on your investment.

San Diego Plastic Surgeon
5.0 out of 5 stars 43 reviews

Breast asymmetry

All breasts are somewhat asymmetric. It is still a bit early, and one breast looks a bit higher than the other but this again is a bit early.  Keep a close eye on it with your surgeon and give it a few months. You may need a revision.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 22 reviews

Breast Asymmetry/Encapsulation?

Thank you for the question and pictures.

I think you have legitimate concerns about the brest asymmetry and possible encapsulation;   it would be in your best interests to discuss these concerns directly with your plastic surgeon who  (after physical examination)  will be in the best position to make a diagnosis and advise you.

You should have some peace of mind however  that eventually your breast asymmetry can be improved upon.

Best wishes.

Asymmetry and possible capsular contracture

You should wait at least 4 months or so before assessing your results. Your breasts will continue to change a bit as they settle. Asymmetry of your natural breast contour before surgery is often enhanced after surgery, therefore you may want to discuss with your surgeon about this if it doesn't correct itself. A reduction or augmentation in one side to balance out your breasts may need to be required.

Capsular contracture involves a hardening of the breasts. If you find that this is the case for you, please see your surgeon asap.

Your preoperative asymmetry looks much improved after your breast augmentation

Thank you for your question and photographs. From your photographs I am impressed that the breast augmentation has improved your preop asymmetry much more than I would have expected. At this early stage I doubt that a significant capsular contracture would have recurred.

I really think your result is excellent considering the significant asymmetry that you had before surgery. Be sure to discuss your concerns with your plastic surgeon, however it looks to me from the photographs that he or she did an excellent job.

Post op breast asymmetry

There seem to be several issues: your right breast seems slightly larger, wider and droopier (ptotic) prior to surgery, the asymmetry is more noticeable in pic 1, but seems to improve by pic 3.  When were the post op pics taken?  It seems that your left breast is "settling" and matching the right better by pic 3, but the slight volume difference may remain if the same size implants were used on each side...4 weeks post op is quite early and I would recommend patience at this time as things appear to be improving.  Remember that with breast surgery we try to get twins, but usually windup with sisters.

Leonard T. Yu, MD
Maui Plastic Surgeon
4.0 out of 5 stars 23 reviews

Pre Operative Asymmetry Likely To Exist Post Operatively

Thank you for your pre and post operative photographs.  As I view them, it appears that your left breast was higher than your right pre operatively.  This is a very common situation.  I am not sure why you have pain in the left breast.  That, at times, is a sign of capsular contracture, but the biggest sign is a hard breast which you didn't mention.  There is an increased chance of capsular contracture because your implant is above and not below the muscle.  In my practice, I use Accolate, an asthma medicine, to decrease capsular contracture, and I have a very good track record for treating and curing capsular contracture if we begin treatment within the first six months. 

That having been said, the question whether you do or don't have a capsular contracture is best defined during a physical exam by your plastic surgeon.  If you don't have a capsular contracture, the asymmetry may be due to pre operative asymmetry which is often exaggerated by breast augmentation.  If you do have a capsular contracture, ask your plastic surgoen about the suggestion that I made about Accolate.

Breast augmentation asymmetry

Asymmetry after breast augmentation can sometimes be corrected without surgery.  I instruct my patients on breast capsule massage and in my personal experience that can often correct subtle asymmetries.

Speak with your doctor about other recommendations.  you may require re-operation if it is truly an early capsular contracture which may have many different causes including:

  1. sub-clinical infection
  2. foreign body reaction (sterile talc or lint creating inflammation)
  3. implant rupture (silicone)
  4. excess blood around the implant

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 187 reviews

Concerns about breast asymmetries and capsular contracture 4 weeks post breast augmentation

You did have preoperative asymmetry which persists postoperatively as expected. At four weeks, though, you are still too early to see the more "final" outcome. 

As regards capsular contracture, it is highly unlikely that you have this at this early stage. A physical examination by your plastic surgeon can better determine this.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Fixing breast asymmetry

I think what you are seeing is magnification of asymmetries present before surgery. In the before photo the right nipple is more centered over the breast tissue while the left is outside the center of the breast tissue. The breast creases are also different with the right breast hanging slightly lower. I do not think you will ever be able to get them exactly the same but you may be able to get them to be more similar by some minor revision surgery. The best person to do that is your current surgeon and the best time to do that is some months down the road.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon

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.