Why is One Boob Bigger Than the Other?

had a breast augementation 8 months ago and my left breast is bigger than the other also my nipples are not in the centre like they should be. its noticeable and really bugs me as to why they are not the same size. is something wrong?

Doctor Answers 5

Uneven Breasts after Breast Augmentation

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Thank you for your question. At 8 months your Breast Implants should have settled to their final position. There are many possible reasons for uneven breasts after Breast Augmentation:

  • Natural Breast Asymmetry before Breast Augmentation
  • Asymmetric placement of the Breast Implant during surgery
  • Capsular Contracture-hardening- of one Breast Implant
  • Implant rupture

It is very important that you see your doctor for an exam. The most common causes of uneven breasts after Breast Augmentation is pre existing asymmetry and capsular contracture.

Hopefully your doctor can diagnose the cause and help correct the problem.

Inequality of Breasts

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No two breasts are ever of the same size and shape, but a significant difference means a phone call to your plastic surgeon for an appointment and a hands on evaluation.  Your pre-op pictures in your chart may show that your breasts weren't even in the first place.  Many patients do not look at their pre-op breasts closely because they really don't like what they see.  On the other hand, a complication may have developed and I am sure your plastic surgeon would want the opportunity to evaluate your breasts, and treat any complication that may have caused the asymmetry. 

Asymmetrical Breasts

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Thank you for the question. It would be difficult to fully assess your situation without an in-person examination. Asymmetry in your breast could have been caused by a number of reasons including an existing breast asymmetry before surgery or misplacing of implants during surgery.  Visit a board-certified plastic surgeon and have a full evaluation on your options to correct them. Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 122 reviews

Breast and symmetric healing after augmentation

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Thank you for your question and for sharing your photos. During the post-operative period the breast are swollen, and the breast implants appear in a much higher position. Over time they descend and fills out the lower half of the breast. In addition, it is not uncommon for one breast to be more swollen than the other and may even out with time (unless they were asymmetric in size to begin with). It may take several months for this to happen and can be encouraged with breast massage and compression. It may appear that the breast enlarges as the lower aspect of the breast fills out (at the expense of the upper portion of the breast).
At 8 months, I would revisit with your surgeon to discuss your results and assess if there are options to help improve the size/shape/nipple symmetry.

Breast Asymmetry after Breast Augmentation?

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As you can imagine, without direct examination or viewing pictures it is not possible to give you precise advice. Your plastic surgeon is in the best position to rule out complications (such as capsular contracture) and to advise you.

Keep in mind, that a mild to moderate degree of breast asymmetry is to be expected ( naturally or after breast surgery).  If the asymmetry is significant and/or worsening,  revisionary surgery may be necessary to improve your situation.

Again, your plastic surgeon will be in the best position to assess your situation.

Best wishes.

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.