2 Months Post Breast Augmentation Uneven? (photo)

   The right implant is higher and does appear smaller.  However, if the pocket is tight, this would explain the look.  The difficulty will be getting the implant down in the next 2 months or so.  If after 6 months the breast looks the same, the pocket can be opened.  Kenneth Hughes, MD Hughes Breast Augmentation Los Angeles, CA

The
period of time immediately following breast augmentation surgery is
characterized by rapid change. During
this period of time swelling, muscle spasm, inflammation and the wound healing
process itself all contribute to changes in the appearance of a woman’s
breasts.In some cases, swelling, muscle
spasm can displace breast implants in a superior direction when implants are
placed beneath the muscle.Your
pictures demonstrate a superiorly malpositioned breast implant with a tight
pocket which makes the implant look smaller than the opposite side. This can occur for a variety of reasons
including muscle spasm and swelling, under dissection of the inferior breast
pocket, and early capsular contracture.With
time, assuming adequate pocket dissection, these implants might return to a
more normal position.Sometimes, the use
of a bandeau superiorly and massage may facilitate this process.It
may take 3 to 6 months for your right implant to drop into normal
position.If no progress has occurred by
then, revisional surgery may be necessary.This would involve re-creating the lower portion of the breast pocket.It’s
important to have good communication with your surgeon.Make sure he’s aware of your concerns.He’s familiar with the specifics of your
surgery and will be able to give you appropriate direction.

It is too early to get excited. It will take 3-4 months for the final result to be apparent. From your photos, the asymmetry you have now is similar to pre-op asymmetry, but it will soften over time and not be as obvious.