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.

Preoperative breast asymmetries are not all correctable when doing an augmentation, especially when the inframammary folds are different and/or one breast is more lateral on the chest than the other.  In fact, some asymmetries are more noticeable when the breast are larger.  Your results are due to your asymmetry present preoperatively.  Sometimes, a minor revision can improve the asymmetry, but you likely will never be able to make them exactly even.  I would recommend that you discuss the issue with your plastic surgeon.

 

Dear Emily,

Thank you for sharing your photos along with your post.

It seem that the pre-op photo shows an asymmetry in your breasts where the left breast is a little more ptotic than the right one. This asymmetry has been carried along after the surgery was performed.

Unfortunately, without knowing the full details of your surgery it is not possible to provide you with a solid explanation. It would have been great if you could share whether the surgeon did use different sizes of implants in each breast or not during the surgery. Another potential aspect to consider would be the size of the pockets in which the implants sit.

At 2 months post-op, there may be a slight room for more dropping of the implants to happen as mother nature works its way.

I encourage you to follow your surgeon's instructions religiously and to be a little more patient.

That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.
I hope this helps and please feel free to check the website below.

Thank you for your inquiry.
The best of luck to you.

Dr. Sajjadian

You can see from the photographs that the left breast implant is lower than the right. What is the cause of the right being higher is it a tighter pocket or is it a capsular contracture? What I would suggest is a thorough examination by your surgeon. It could take up to six months before you decide what to in order for the healing process to be complete. At that point your surgeon may want to lower the right breast implant for whatever the cause or slightly elevate the pocket on the left implant also . Good luck 

Nipple position, inframammary fold position, and other anatomic features that demonstrate asymmetry before surgery may very well demonstrate asymmetry following surgery.  The best option when
questions arise post-operatively is to call your own surgeon. Have him or her evaluate you and
address your concerns as only they know exactly what was done during surgery as
well as what your discussions, concerns and expectations were before
surgery.



Having another surgeon,
who knows none of this, address these questions is unfair to your own surgeon
and may provide you with misinformation that will yield more confusion and
concern and potentially strain the relationship with your own surgeon.

You have pre existing asymmetry and this is also reflected post operatively. The infra mammary crease appears higher post op on the right but i need to see a photo with your arms elevated to be more precise. You are early in the post op period. Give your breasts more time to heal.

Yes I agree that the right breast has not/nor will it drop. You will need revision of the right inferior quadrant. 

I am wondering if one of the post op photos was taken in a mirror--it is hard to make sense of the change otherwise. Please clarify.

There clearly is asymmetry in the before photo, and this is often more apparent in the enlarged breasts after surgery. The left breast is lower before surgery, and is still lower after, at least on the far right photo. At two months it is still too early to assume they have both dropped, so some patience is in order. If the difference persists and is unsatisfying, consider reposting with a new post op in a month or two. 

If nothing changes, a revision surgery can make better symmetry. What to do depends upon which breast seems right to you. Thanks for your question, best wishes.