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4 Weeks Post-op - Uneven Breasts?

asked 1 year ago by miss.tini
Latest answer by Tom J. Pousti, MD
Question viewed 4,529 times
Tags: saline implants, under muscle, 300-349cc, drop, smooth, uneven

4 weeks ago I had smooth saline implants (325 cc.) placed under the muscle. I was told at my 1st week appt. that one implant had "dropped" but not the other one. The breast with the implant that "dropped" (left) looks bigger/fuller than the other, and the nipple is at a lower position. I understand I may have to wait months to see the implant "drop", but would the (right) breast look bigger/fuller like the other one once the implant drops? I am worried because I do not think that's the case.

16 answers to 4 Weeks Post-op - Uneven Breasts?

Uneven breasts after augmentation surgery

In the photos, it is obvious that the right breast appears larger, and the nipple areola sits lower on your breast on the rigth. But because you dont post before pictures, it is hard to determine why you have the asymmetry. I doubt that the asymmetry of the nipple position will change much unless you do something about it. I will typically place my patients in a breast strap or bandeau putting pressure over the breast that the nipple looks lower on. This... more

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

It takes patience to see breast augmentation results

Patience is one of the most important factors in achieving the best results in cosmetic surgery. We all want to see the final result as early as possible. Unfortunately, the healing process is complicated and takes time. You cannot fight Mother Nature. The surest way to get a poor result is to undergo revision surgery before your body is ready for additional surgery. With more than 30 years and thousands of breast augmentations, I have found that breast augmentations take about six... more

Richard L. Dolsky, MD
Philadelphia Plastic Surgeon

Asymmetry at 4 weeks after breast implants

At 4 weeks, some swelling and tissue tightness is still expected. It's really "too early to tell" in terms of subtle shape differences. Give it 2-3 months before judging the final result. Also, posting a "before" picture would be helpful - many people have pre-existing asymmetries that they don't even notice beforehand...but they sure notice them afterwards! Your surgeon can best advise you on this. All the best,

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Breast implant results can be seen after 3-4 months.

You should be patient until 3-4 months after surgery. Make sure you are following all of your post op instructions and doing any massaging as directed by your surgeon. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Wait a little longer

Your breast will drop at different rates and for them to be in different positions at 4 weeks is ok. It will take about 3 months until they look great! You probably didn't notice the asymmetry in position of the nipples or the folds underneath your breasts before surgery but those things are most likely the same now too.

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Breasts are Asymmetric After Implant Surgery.

You most likely had asymmetry in your breasts before surgery. It is quite common. However, even small asymmetries can become amplified after breast augmentation. At 4 weeks you are still in the early phase of healing and I recommend waiting around six months to let everything settle down. Dr. Babak Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon

Breast asymmetry

It is interesting to me to see how critically pin point accurate patients are to see a tiny bit of symmetry after surgery but noticed nothing after 20 some years of having asymmetrical breasts and never noticed a thing. . We get photos of every single patient to show the patient PRIOR to surgery what to expect AFTER her breast aug so that she knows that the aug will NOT be perfectly identical and that's when they realize that they were not built perfectly identical. Once we... more

Ricardo A. Meade, MD
Dallas Plastic Surgeon

Breast asymmetry after augmentation

When we look very carefully at pictures before and after breast augmentation, asymmetry in the shape of the breast envelope, and nipple position are common and the implants can call attention to what was there all along. I'll bet that your right breast was slightly larger, the nipple slightly larger, and the skin fuller nipple to natural breast fold. It is true that after six months things can improve a bit and it is too soon to panic. We can all see what you do, though at this time... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Uneven Breast After Breast Augmentation

Although you are asymmetric, this is very slight and most likely is related to your pre-operative appearance. Comparing your current result to a before photo is often very helpful. Also, there is no question that your breasts will continue to "settle" over the next few months helping them to look more natural and even. Patience is a true virtue here. Stay in communication with your doctor and I'm sure you will be happy as time passes. I cannot... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

4 Weeks Post-op - Uneven Breasts?

Thanks for the posted photo. Very hard to advise without a before photo. Because maybe you very asymmetric with uneven breast tissue and nipple position. But if you think you were even than yes you have an issue. Only revision will help. Sorry. From MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Post-op augmentation

The two breasts look pretty good. I owuld just leave them alone and let them heal. Remember we all have asymmetry.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast implant healing

At this point you just need to wait. There is no obvious problem here so let the full healing take place over 6 months.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast augmentation

Without seeing the pre-operative photos, it is possible that you had un-even nipple positions prior to the surgery. Review them carefully first and then compare them to the post-operative photo. Often, discrepancies (before surgery) are magnified after surgery.

Shahin Javaheri, MD
San Francisco Plastic Surgeon

Breast Asymmetry after Breast Augmentation

Thank you for the question and picture. It is quite common to have some degree of breast asymmetry for several months after surgery. I ask my patients to allow for at least 9 months to one year before making any final judgments about the end results of surgery. My patients are also cautioned that the breasts will never be identical (“sisters not identical twins”). Continue to follow up with your plastic surgeon and try to maintain realistic expectations-... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Implants at Four Weeks

Your right breast is bigger and the implant is definitely lower. I would like to see your preop photos and i suspect some of your asymmetry was present before your surgery. It is still very early and you should wait another two to three months to see how your breasts look. Not only can patients present with differences in breast size and shape, but they can also have asymmetry of the nipples and the position of the breast fold.

Richard Linderman, MD
Indianapolis Plastic Surgeon

Uneven breasts after augmentation

Thank you for the photo. Although you do show slight asymmetry, you are too early to predict how the implants will settle. The question is: were you symmetrical to start with? The advantage of saline implants is that you can adjust the volume intraoperatively if there is some asymmetry. At this time I advise that you be patient andd wait about 6-8 months for full healing to take place.