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The ultimate position of the breast, nipple, and areola depends on surgical factors and may require 6 to 8 weeks before the swelling subsides in order to see the final position. I would wait this period and determine whether this meets your expectations for nipple repositioning. Revision of the areolar and nipple positions can be performed relatively simply.
There is always some differences in breast shape or size after a breast lift or reduction.Most breasts aren't 100% symmetric. If your asymmetry is severe. You should wait at least three months. If the results are not acceptable then a revision might be indicated
It is normal to have some assymetry after breast surgery depending on the point in time of recovery and the severity and complexity of the case. If you feel you have issues and concerns, I recommend consulting your plastic surgeon as soon as possible or a board certified plastic surgeon to discuss any options necessary for you. Aggressive massage and manipulation of the breasts will help them settle into the pocket and will also prevent encapsulation (scar tissue). Final results of breast lift and augmentation surgery can usually be seen around 6-8 months. They may not be perfect but should be fairly close in symmetrical in shape and size. Take care!
Some asymmetry is not unusual in the first weeks after breast lift, and may improve once all the swelling resolves and healing is complete. Occasionally if there is still significant asymmetry after several months, a revision may be considered.
After breast lift surgery, patients should expect a period of swelling and bruising. This may take some time to resolve. Patients should see their final result 4 to 6 months after having had their surgery. During this healing process, it is common for a patient to have an evenness between the nipples and between the breasts. If after six months, you continue to have a significant difference, visit with your plastic surgeon as he or she will want to know your concerns. Possible options to correct asymmetry of the areola is to perform a small office procedure where the areola can be reshaped under local anesthesia.