Asymmetrical breasts one year post operation. What can I do to rectify it? (Photo)
Doctor Answers 14
Pre op photos
An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.
All the best,
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Your right implant has dropped out, more medially than laterally. It cannot be determined the cause (error versus developmental). Fixing that issue would require a surgery to repair the inferior limits of the capsule by suture closure, known as capsulorrhaphy. This will give you much better symmetry, correcting nipple asymmetry as well as breast mound asymmetry.
Your left nipple depression is due to the unpredictable nature of periareolar access. Scar contracture has cause a depression of the nipple along it's inferior aspect. Despite this surprisingly frequent complication and much higher rates of capsular contracture, this incision is still used more than the inframammary incision in Southern California. I have found that one (and sometimes two) rounds of fat grafting can severe these contracting scars bands that pull the nipple downward.
Best of luck!
Asymmetric postop breast augmentation
If your nipple-areolae were symmetric preop, then the postop asymmetry is probably caused by the right implant bottoming out a bit (thus raising the right NA complex). If not, then a left cresent lift (repositioning the NA complex superiorly to match left side) may be beneficial.
Bottoming out on right can be caused by many things such as a natural laxity in tissues or preexisiting lower breast curve. This can be corrected surgically.
Breast implant asymmetry
Thomas Taylor, MD, FACS
Breast Asymmetry after Breast Augmentation
However having said that, yes there is some asymmetry that can be fixed with revision surgery.
Make sure you visit with board certified plastic surgeon that has experience in breast revision surgery.
Asymmetric breasts one year post operation
Based on your photos, right breast implant seems to be bottomed out.
It could have been due to over dissection of the pocket or weak tissue.
In order to improve the symmetry, you will need suture reinforcement (capsulorrhapy) or dermal matrix.
Please talk with your plastic surgeon to learn about the options.
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.