What is going on with my lop sided breasts 6 months post op? (Photo)

Question

I had a breast augmentation 6 months ago where I had 410CC high profile silicone implants placed under the muscle. I wore a band post op for 3 weeks to help the implants settle however one implant still remains very high (I can still see the incision site). My breasts get firm and lift when I exercise. Why are my breasts lopsided? Also, are my implants positioned too far apart laterally? My breasts are still quite firm and it is difficult to achieve cleavage even with a push up bra.

Ankur Mehta, MD · Answer

Hello, and thank you for posting photos along with your question! One thing that would really be useful in this situation would be to see your pre-operative photos. That can give a lot of important information on the native breast shape, position and volume. After breast augmentation, unless specifically addressed, many of these natural characteristics of each breast do not change (except for volume.) If one breast is larger than the other pre-operatively (which is almost always the case) then post operatively the breast will still be bigger (if the same size implants are placed in both breasts). Also, it would be helpful to know whether the implants were smooth or textured. Also important would be to know how your breasts have progressed since surgery. The breast that you feel the implant is high....did the implant start to drop and then start to raise or did it never drop? This can be one of many issues but some initial thoughts are you may be experiencing an implant that just didnt drop, maybe your breasts were very different before, or you may be experiencing early capsular contracture. The only way to diagnose whats going on is by evaluating you in person. I think the best advice would be to go to see your plastic surgeon and have them evaluate you and then discuss your concerns with them. As far as cleavage goes....That is based on your breast gap pre-operatively and many times cannot be changed without risking future complications (synmastia AKA uni-boob) I hope this helps!Ankur Mehta MD

Brian K. Reedy, MD · Answer

It is hard to tell without seeing pre-op photos. You may have developed capsular contracture. I'd recommended contacting your surgeons office for an exam. Best of luck to you!

Farah Naz Khan, MD · Answer

Hard to answer this without seeing your preop photos and conducting an in person exam. However, if your higher implant is firm, you may be developing a capsular contracture that is preventing it from dropping. Keep in mind that larger implants sometimes take a bit longer than 6 months to fully drop and settle. Best to see your operating surgeon so he or she can properly evaluate and examine you in person.

Steven Wallach, MD · Answer

It looks like the two breasts are very different shapes.  You may have a capsular contracture and might need revision surgery.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry and congratulations on your surgery!
It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.
It is important to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is crucial for healthy results.
It generally takes around 6 months to a year to see your final results. Your tissues will take time to relax and allow your implants to "Drop and Fluff" settling into place.
Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.).
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

What is going on with my lop sided breasts 6 months post op? (Photo)

Answers (5)

Answer: Capsular contracture

Answer: Capsular contracture

Answer: Recommendation

Answer: Recommendation

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

What is going on with my lop sided breasts 6 months post op? (Photo)

Answers (5)

Answer: Capsular contracture

Answer: Capsular contracture

Answer: Recommendation

Answer: Recommendation

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.