My right breast is higher and seems stuck under the muscle. It is not as full and circle like as the left one (Photo)

Question

Should I get a revision? What are the risk? My doctor says it has too much scar tissue but the shape bothers me

Urmen Desai, MD, MPH, FACS · Answer

I would need more details to fully evaluate you, such as how far out from surgery you are.   I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified Beverly Hills Plastic Surgeon

Daniel Barrett, MD · Answer

Dear lil_kt,based on your photo, it doesn't look like you have a severe asymmetry. But it is hard to tell for sure without an examination. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Yuly Gorodisky, DO, FACOS · Answer

Your breasts look slightly asymmetrical in the photo.  However the difference seems minimal and as you may know most women have a slight asymmetry of their breasts naturally. It is hard to say what the cause is from looking at the photo.   You need to be examined and your history reviewed to see what your breasts looked like before surgery, to determine if a revision or implant exchange is warranted.

Tim Sayed, MD, MBA, FACS · Answer

Judging from your single photo, I'd say you have a good overall result. How long has it been since surgery?Sometimes patients have mild preexisting asymmetry that becomes a bit more obvious when the breasts are enlarged. Additionally, implants may settle differently on each side in the first several weeks to months. If there is noticeable volume discrepancy between the sides, it's possible the implant capsule is slightly differently shaped on each side or you have a little different native volume in each breast.

Curtis Wong, MD · Answer

I ask because your results do appear good, and yes, I appreciate your concerns.  If you must have them rounder, you can have more surgery at risk of ending up lower on that side or fat grafting to fill out the depressed portions.  If you open up your pocket to release scar tissue, you are accepting of all of the risks of a new procedure.  If you are within 6 months from your augment, give it time to see if any further settling will improve your contours.  My patients are asked to focus on how level the upper poles are since that is what the world sees and yours appear pretty level.

Lisa Cassileth, MD, FACS · Answer

Occasionally, one implant drops into the pocket a bit better on one side than the other. This seems to "just happen" with primary augmentation occasionally, either from one muscle being stronger than the other, an arm being used more, or some difference in the surgery or difference in the breasts. I would tweak the surgery by opening up the breast pocket on the bottom called a "capsulotomy". A few sutures can be used on the upper pec muscle to force the implant down if necessary, or wear a strap post op. The best way to minimize the risk is to use a new implant or at least make sure your surgeon uses a Keller funnel, as your areolar incision leaves you with a higher risk of contracture and biofilm.

Stephen W. Gordon, MD · Answer

i think you look great. Maybe you should simply relax and enjoy the improvement. Remember this advice: " the enemy of good is better" It would be a different story if you were in a lot of pain, or if the breast was hard as a rock.  You have implants in your breasts, not additional breast tissue. So enjoy  it.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the photos but if you have concerns see your surgeon or other expert in the area and get their opinion after an examination Dr Corbin

My right breast is higher and seems stuck under the muscle. It is not as full and circle like as the left one (Photo)

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