Worried I've Bottomed Out. Breasts Are Uneven 6 Weeks Post Op Dual Plan Aug (photo)

6 weeks ago I had my breast augmentation with 250 cc mod+ with "dual plane" tech.and from the first week I was feeling diffirent on my left breast but when I went for regular check to my PS he said everything was perfect and then I had to travel to my country and I couldn't go again for any check.. Now my left breast stays lower than the right one and at upper pole I have more fullness on my right side.. I feel like nothing is standing under my mussle on the left.I need your oppinions!

Doctor Answers 14

Breast implants and Asymmetry

Thank you for the pictures.  Your augmentation results look pretty good.  I do not think the implants are bottoming out.  They have a very natural appearance and if there is some asymmetry it appears minor to my eye.  I would not recommend anything at this point.

Dr. ES

6 weeks after augmentation

Many patients still have slight asymmetries at only 6 weeks post augmentation, including more fullness on one side or the other and slightly different implant positions.  From your photos, you look quite symmetric to me and I don't see any glaring problems!  (No woman's breasts are mirror images of each other, before or after surgery).   You will likely continue to notice changes for at least 3 months, and then even up to a year after surgery.   As for feeling "nothing standing under the muscle", most of the time submuscular implants are only partly covered by the pec major muscle, so the lower part of the implant is more palpable (ie, you can feel it) under your tissue, particularly in thin women. 

Michelle A. Spring, MD, FACS
Missoula Plastic Surgeon
4.8 out of 5 stars 42 reviews

Uneven breasts after implant surgery

ALL BREASTS ARE UNEQUAL  with or without surgery.  Think of breasts like snowflakes, no two snowflakes are alike and no two breasts are alike. When we perform implant surgery, we do try to make the breasts as equal as possible, knowing full well we cannot make them exactly the same.

You are very early after your procedure @ 6 weeks and the implants will still change considerably.  Your photos show implants that are close in shape and size.  I would be very patient and wait at least 3-6 months and maybe even longer before you pass final judgment.  I would be surprised if you would need any revision surgery.

Good luck!

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 74 reviews

Bottoming Out?

Thank you for the question and pictures.

Although I do appreciate the breast asymmetry  you are referring to  I think it is too early to consider revisionary surgery. Since you're only 6 weeks out of surgery additional changing of the breasts can be expected to occur.  I would suggest reevaluation at the 6 months or one year mark.  At that point, if the left breast implant still feels “unsupported” and you have significant breast  asymmetry related to that implant malposition,  then revisioaryn surgery may  the helpful. 

Most likely what would be required is correction of inferior and/or lateral breast  implant malposition. This is corrected by “raising” the inframammary fold using internal sutures (done after careful measurements are made from the areola to the “new” inframammary fold).

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,465 reviews

Breast augmentation

No two breasts are exactly the same!  They look pretty good in the photos to me. If you are concerned, go speak withyour surgeon and review your before and after photos.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 26 reviews

Bottomed out post op breast augmentation?

Without the benefit of an exam and pre op photos, I can only suggest that you're doing fine.  If you were "bottoming out" I would expect to see your inframammary incision ascending onto your lower breast skin which I do not see on these photos.  No breasts are symmetric pre op or post op.  My advise is enjoy your good results,  Best wishes

Craig Harrison, MD, PA
Tyler Plastic Surgeon
5.0 out of 5 stars 26 reviews

Dual Plane?

It does not appear to be "bottomed out" as that would mean your breasts fell below the inframmamary fold but consider that this is not "dual plane" and rather sub glandular. Dual plane would include a portion of fascia/muscle and a portion of gland. This appears to be only under the gland. 

Jacob Freiman, MD, FACS
Miami Plastic Surgeon
4.5 out of 5 stars 265 reviews

Good results so far

Your photos show great results. Your breasts are still settling and will continue to do so until about three to four months after your surgery. During this time, one breast can settle at a faster rate than the other, and this sounds like it is the case for you. It does not appear that you are bottoming out, as your breast profile shows a natural shape. Make sure to wear a good supportive bra and you should probably find an experienced board certified plastic surgeon in your area who can monitor your recovery.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews


Hi, most women has some sort of asymmetry.   I do believe that they will even out over time.   I would give it at least 3 months and re evaluate with you doctor.   

Good luck! 

Michael A. Fiorillo, MD
New York Plastic Surgeon
4.8 out of 5 stars 92 reviews

Uneven breasts - early in the post operative period

Your breasts look fine and there is no evidence that you are bottoming out or have any other problems.  You are only 6 weeks out, give it more time before you judge your final result.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 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.