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Abnormal Swelling 5 Weeks After Breast Implant Revision? (photo)

I went from 300cc saline to 450cc gel implants. The PS had to correct an oversized right pocket. Immediately after my surgery, the implants were uneven. He said that the amount of work done to correct the pocket was probably causing more swelling than normal. I feel that my right implant is getting bigger and becoming more numb & developing some mild pain in the bottom of the breast. My PS said that I have chronic swelling. Also, my right breast is completely oblong in shape. What should I do?

Doctor Answers (5)

Concerns about Breast Asymmetry after Revisionary Breast Surgery?

+1

I am sorry to hear about the concerns you have after revisionary breast surgery. Although difficult to give you good advice based on limited information, it is clear based on your photographs that you do have significant breast asymmetry, probably related to different size/positions of breast implant pockets on your chest wall. Again, difficult to predict but it is likely that you will benefit from revisionary surgery to improve your breast symmetry down the line. Best to evaluate the situation several months from now.

Assuming your plastic surgeon has significant experience with revisionary breast surgery, communicate your concerns in a calm/constructive fashion.  You may find attached link helpful to you as you learn more about revisionary breast surgery.

 Best wishes.

Web reference: http://www.poustiplasticsurgery.com/Procedures/procedure_revisionarybreastsurgery.htm

San Diego Plastic Surgeon
5.0 out of 5 stars 626 reviews

Breast asymmetry

+1

I think that you have to be evaluated in person to get a better appreciation of the issues. Is there fluid around the implant?  Can't say from just a photo.

Manhattan Plastic Surgeon
4.5 out of 5 stars 14 reviews

Early asymmetry following implant breast revision

+1

You do have some obvious asymmetry but at this point I would not consider it to be abnormal. Five weeks is very early in your post operative recovery.  I would expect there to be some degree of asymmetry at this early date.  Continue to follow the advice of your plastic surgeon.  If the asymmetries do not resolve you may need a revision.  At this point it is not possible predict if anything need to be done in the future.  

Atlanta Plastic Surgeon
5.0 out of 5 stars 7 reviews

Abnormal Swelling 5 Weeks After Breast Implant Revision?

+1

From your pictures, it appears that the pockets were made uneven during your surgical implant revision, as they looked asymmetric in your 1 week photos.  If the breast that shows up on the left side of your photos is the one that you refer to as the right breast, and this is the one that has pain at the bottom of the breast, I would say that the pocket on this side is likely too large and that is why you have visual asymmetry and pain.  Not sure if the pocket was too large before surgery, although it doesnt appear to be from your pre-op photo.  I would encourage you to discuss this with your surgeon.  You have a significant likelihood that you will need another revision.  I would encourage you to wear a good support bra for the right, and consider a breast strap over the left to help the pocket stretch.  It will take a good 6 months for you to heal enough to know what your final results will be. You can also consider a second opinion, as an in person exam can be helpful.  Good luck!

Newport Beach Plastic Surgeon
5.0 out of 5 stars 78 reviews

Abnormal Swelling 5 weeks After Breast Implant Revision

+1

Hello Frances, you need to schedule an appointment with the surgeon that performed this procedure for an in person examination. It appears from the photos that a revision is in order. Be honest with him and let him now all of your concerns. If you are not comfortable with what you are told at the post op examination I would seek a second opinion with a Board Certified Plastic SurgeonSurgeon.                                                                                                         Best Wishes to you.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 6 reviews

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.

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