9 Days Post-op, Breasts Asymmetrical

I did my BA abroad. Under muscle,Round,textured,armpit incision. L:290cc, R:320cc. Day9, Left looks much bigger,much lower.Right distorted with huge bruising. Thru email, PS told me I might have seroma not emergency, but asked to come. My question is: Is my left breast too low? Or the right one too high? Could it be seroma? can it get absorbed by the body? Should I just wait & see? Will warm compress/msg/banding help?

Doctor Answers 6

9 days post op

Thank you for the question. You are still in the post operation recovery stage. It is not uncommon to feel pain,swelling, and asymmetries during this period. It usually takes about 8-12 weeks for the wounds to heal and around 4-6 months for the implants to fully settle. It would be best to visit your board-certified plastic surgeon and get a full assessment for your concerns. Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 90 reviews

Breast Enhancement Surgery

I agree you may have a fluid accumulation which is usally best drained because it will reduce the risk of having an early capsular contracture 

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
4.9 out of 5 stars 71 reviews

Breast implant asymmetry

Thank you for the question.

Some  degree of breast asymmetry  is to be expected after breast augmentation surgery,  especially on the 9th post op day. Sometimes implants may take several months and up to a year to “drop”.  I have found this to be especially true when work has been done on the lower pole of the breasts and/or when larger breast implants are used.

I would suggest continued patient,  nonaccusatory  follow-up with your plastic surgeon.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 reviews

Breast asymmetry

You seemed to have breast asymmetry in your preop photos that matches what you have post-op.  When trying to correct this, you may get into trouble, I always point out asymmetry preop.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Breast asymmetry after breast augmentation looks like it existed previously

it is difficult to assess your condiiton from the photos provided. It does appear that you started with a significant asymmetry and a lower left breast to begin with. Rather than manage this by email, go for a consultation.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Asymmetry after breast augmentation

Thank you for submitting the photographs. It does appear that the left breast fold is significantly lower than the right. However, the preop photo is inconclusive as to whether the fold on the left was anatomically lower than the right to begin with. An axillary approach to breast augmentation can be difficult, particularly in women with asymmetric breasts. From the photos, you have a decent amount of bruising on the right breast. Bruising is usually an indication of a bleeding at surgery or a hematoma, not a seroma. Both can be absorbed by the body over time, but if in the pocket, they can lead to a higher risk of capsular contracture or infection.

Your issues do bring up a point that many people don't consider when choosing to have surgery in another country. Most choose to have surgery abroad due to financial reasons. However, if there is a problem or complication, it is often difficult to for the patient to follow up appropriately with the surgeon who operated on them. When there is a problem that needs correction, it often costs much more than the original surgery would have costs in the US. My recommendation for you is to find a board certified plastic surgeon in San Francisco to be evaluated.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 25 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.