After Three Years: Not Level or Symmetric Breasts and Noticeable Nipple Scars. What Do I Do?

I had done my silicone implants, 270 cc, almost three ago, a year later I consulted my surgeon because the left breast looks lower and moved to the side, also the scar around the nipple was expanding and changing color, due to that mi surgeon reinstall the left nipple because he didn´t like the scar, but I´m not sure if he did something about putting the left breast back in place. Today the left breast still looks lower and moved also both scars are pretty noticeable. What should I do now?

Doctor Answers 9

Breasts not symmetric

Breast asymmetry is one of the most challenging subjects in my practice.  Often times when the difference is not too much then it is simple to correct but breasts differ in many ways.  My first question is: Were your breasts symmetrical before the augmentation? If they were then most likely the problem is a displaced implant.  Often implants placed under the muscle will migrate down and out (to the side) due to muscle push or excessive dissection at the initial surgery.  This is correctible and your surgeon should have done it when he revised the scar.  After 3 years this will not correct itself and you will need a repair.  My suggestion to you is to go back to your surgeon and point out the problem to him.  See if he understands what you want and what solution he proposes.  Maybe he doesn't know how to correct it.  If you're not satisfied with his plan then you need to seek more opinions or even choose a different surgeon to correct your problem. 

Oklahoma City Plastic Surgeon
4.7 out of 5 stars 36 reviews

Concerned about Assymetry with Current Breast Implants

A #BreastAugmentation without a #BreastLift is often said to be a mistake looked back on by many patients. Most breasts will look larger and more droopy.They will sag more and sooner because of the excess weight altering the longevity of the results. The shape will usually not be satisfactory and sometimes results with “Snoopy” breast or double bubble. A #mastopexy or breast lift operation is designed to improve the shape and position of the breasts without reducing their size. It is the most suitable for #breasts which sag or droop (ptosis) as a result of development, aging, pregnancy, breast-feeding and weight loss . Some patients will experience better results to restore superior fullness if an #implant is used at the time of mastopexy; better known as #AugmentationMastopexy. A Breast Lift can also be done while having existing Breast Implants and can be used to correct #assymetry. With both implant types there are choices when it comes to size, shape, and profile. The criteria best to suit you will be discussed in full detail at your breast augmentation consultation. Also, the right implant for the revision is contingent on shape of body and your desired outcome.Your procedures should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for further revision surgeries. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 107 reviews

Revision surgery

All women who have breast implants will require breast implant revision surgery.  You are three years after your inital surgery and changes occur over time.  Your palstic surgeon probably did not do something wrong.  Scars varyy from person to person.  The asymetry may need to be repaired if significant.

Note: Revision surgery should be performed for significant issues because you will likely need another in the next 10 to 15 years

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 75 reviews

Breast Augmentation Revision

Thank you for the question.

Based on your description it sounds like you may be experiencing implant asymmetry because of displacement of one of your implants.

One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).

The lateral (outwardly) displacement of your breast implant can be corrected using an internal suture technique decreasing the size of the pocket and moving the implant up and towards the midline.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,484 reviews

After Three Years: Not Level or Symmetric Breasts and Noticeable Nipple Scars. What Do I Do?

You dont post photos, but with what you state, it is unlikely that the surgeon did anything to the implant placement if it still looks the same.  It is difficult to make recomendations without seeing photos, but you should consult with your surgeon regarding possible revision.

Amy T. Bandy, DO, FACS
Newport Beach Plastic Surgeon
4.9 out of 5 stars 106 reviews

Scarring after peri-areolar mastopexy

Unfortunately, poor scarring following peri-areolar mastopexy with implant augmentation is very common. If you are going to get your breasts revised, you should consider a vertical mastopexy approach with implant exchange.

Arian Mowlavi, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 65 reviews

Breast implants should be level

There are variations right to left for most individuals who have breast implants, though your implants should be positioned fairly symmetrical right to left. If things just are not going right with your surgeon it may help to get additional opinions to see if something can be, or should be done.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Breast lower after augmentation

If the breasts are different in height then sometimes this can be revised. Consult with a board certified plastic surgeon.

Jeff Scott, MD
Everett Plastic Surgeon
5.0 out of 5 stars 10 reviews

Breast asymmetry

Breasts are normally a bit asymmetric with one being lower than the other.  If they are "way off" then perhaps they may need a revision.  Discuss this with your doctor after beign examined.

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