I'm 12 weeks post op breast lift and 600cc silicone implants. Why are my breasts so uneven? (photo)

I'm 12 weeks post op breast lift and 600cc silicone implants. Why are my breasts so uneven? Has one "bottomed out"??

Doctor Answers 8

Uneven breasts after breast augmentation

Your photographs show large implants with bottoming out and a vertical scar.  The implants appear to be in front of the muscle and 600 cc's are large implants.  The additional weight and weakened skin envelope from the vertical scar results in a typical bottoming out pattern.  You will need your implants removed, smaller implants placed retro-pectoral and at the same time your breast tissue should be elevated and the nipples elevated.  This can all be done through a circumareola incision to minimize additional scarring.  You are an excellent candidate for the Augmentation with Ultimate Lift.

Best of Luck,

Gary Horndeski, M.D.


Texas Plastic Surgeon
5.0 out of 5 stars 153 reviews

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Breast Asymmetry After Breast Augmentation/Lifting?

Thank you for the question and pictures.

It is difficult to give you good advice based on the pictures provided given that your arms are elevated. My best guess is that there is some degree of breast implant position asymmetry (possible bottomed out) causing the breasts to look different. Your plastic surgeon will be in the best position to advise you.

Continued follow-up with him/her.

Best wishes.

Breast asymmetry

Without an exam and looking at other views, there may be several reasons for the shape and look.  A vertical incision lift can give nice results.  Is your nipple sited too high? or are your implants too low?  Some asymmetry between volumes is fairly normal as no two breasts are the same. 

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Bottoming out is the reason for uneveness

From the photos provided, the right implant appears to have bottomed out.  The angle and shadows make an accurate assessment of the problem or problems difficult.  The large implant size is a contributing factor.  As has been discussed below, the weight of the implant is difficult to support with lax breast tissue and skin.

Go back to your surgeon and discuss options.  You may need to consider seriously using a smaller implant.

Challenges of breast lift and implants

Breast asymmetry that involves both volume and skin envelope differences can pose challenges, especially when adding a very full breast implant. The give in the skin can be less predictable, and the larger pocket size to accomodate the 600cc can be more difficult to control. We suggest a good support underwire and sufficient time to let everything settle in, and adjustment of the lift later can solve the issues.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 33 reviews

I'm 12 weeks post op breast lift and 600cc silicone implants. Why are my breasts so uneven?

The shadowed photos do not show a major size difference. But the shapes are different with right sided bottoming and to full inferiorly. Seek in person opinions. 

Bottomed out implants

In a patient who needs a lift, by definition, the skin elasticity is poor.  Putting in really big implants and asking the poor tissue to hold them up is asking a lot.  You appear to have bottomed out on your right side.  Please go back to your doctor and discuss this and what revision might be needed to fix this.  Maybe you need to go smaller to help hold the implants up better, at least don't think to go bigger.

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.