Breast Augmentation: Q&A
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Have I Bottomed Out, or is My Left Breast Just Not Settled Enough? (Photos)
I got 300 cc silicone gel implants. from the first day out i noticed the left one was further up than the right. now that i'm three months out, not only is my right larger and lower, but a different shape than my left. is it because i have bottomed out, or has my left breast just not settled as much as the right. And what needs to be done to correct this, can it be corrected?
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11 Doctor Answers |
Asked by
simplyme88
in Denver, CO
+3
Possible capsular contracture
Over 90% of the patients I see in consultation have a right breast that is lower, wider, and larger. So a bit of asymmetry is normal. However, in your case you have to be evaluated for a possible capsular contracture or implant malposition. It is unlikely that an implant will settle more after 3 months. Both above conditions can be corrected or improved to achieve better symmetry, but it will require surgery. Best of luck.
+2
Implant Asymmetry
Thank you so much for your question and for sending pictures. I feel that we would need to evaluate you here in the office to make sure that you aren't experiencing a capsular contracture on the left side. Does the left implant feel more firm than the right? If so, I would start you off with an oral regimen for capsular contracture that would include high doses of Vitamin E, Ibuprofen, and Singulair for 3 months and see if that helps. I would also recommend...
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+2
"Settling" after Breast Augmentaton
The process of "settling" after breast augmentation is usually not synchronous: the 2 sides will "settle" at different times.
I usually recommend some downward manpulation on the side that seems high. Ask your surgeon to see if he/she thinks this will help.
It is possible that a capsule release may be neede to ge the implant position to match. Fortunately, this is a minimally invasive procedure that can usually be done with local anesthesia, minimal...
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+2
The left breast appears to be too high
Hello,
There is always the possibility that a little of both is occurring, but in your case it definitely looks like the left breast needs to come down more. The pocket on that side may need to be opened up more at the bottom. Your right breast seems to be in good position from the photos you provided.
All the best,
Dr Repta
+2
Breast implant asymmetry
Thank you for the question and for sending pictures.
One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).
At this stage in your recovery I...
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+2
Left Implant Not Settled
It looks to me as though the left implant is higher than the right and has not settled. The right looks to be in good position. It is unlikely that the left will settle enough to achieve symmetry and you will probably need revisional surgery to lower it. The good news is that it is relatively easy to lower an implant. Good Luck
+1
Most women start out asymmetric
Hello,
Unfortunately to answer the question accurately, it would be helpful to know if you had any breast asymmetry before surgery and how much. That being said, implants are typically fully descended after surgery by the 3-4 month mark. Your right implant appears to be a good position. Your left implant appears a little tighter and higher. Several things may be going on:
1. The implant position at the time of surgery was not low enough and the pectoralis...
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+1
Uneven Breast Implants at Three Months After Surgery
It is not uncommon to have a breast augmentation look beautifully balanced at sugery and to be uneven for a while early during recovery. Often with the use of an implant stabilization band and massage the implant will settle down to where it was placed at surgery. This usually occurs by three months, but I have seen it take 6. The difference in position of your two implants is pretty significant. I doubt it will drop much further. You and your surgeon will need to...
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+1
Will probably need revision surgery to Correct Assymetry
The one breast implant is positioned higher than the other. This is not bottoming out, because the one is too high. This can be fairly easily corrected with surgery. Probably will not settle on its own now.
+1
Bottomed Out, or is My Left Breast Just Not Settled Enough?
Without an examination or at least looking at your Before photograph it would be presumptive to say. As Plastic surgeons we are limited to placing the central part of the breast implant right behind the nipple regardless of its location. In cases of significant asymmetry before surgery it is impossible to achieve full symmetry after a simple Breast Augmentation.
IF the left implant was this high immediately after surgery there is a chance the pocket was not fully and symmetrically...
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