Breast Asymmetry After Augmentation?

I had breast augmentation almost 3 weeks ago to give more volume to my A cup. My right breast had less breast tissue than my left so my surgeon recommended 300cc in left and 350 in right to even them out. I had saline under muscle. The surgery had the desired effect for volume but my asymmetry has now swapped sides. I have mild scoliosis and my right shoulder and rib cage curve sit more forward on my right which probably doesn't help my cause. Is it likely things will improve in time?

Doctor Answers 14

3 weeks post op

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for the question. You are still in the post operation recovery stage. It usually takes about 8-12 weeks for the wounds to heal and around 4-6 months for the implants to fully settle. Just give it more time.  It would be best to visit your board-certified plastic surgeon and get a full assessment. 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.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 122 reviews

Asymmetry 3 weeks after breast augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It's not uncommon to have asymmetry 3 weeks after breast augmentation. It takes several months for the swelling to resolve and for your implants to continue "settling". It's important to keep your follow up appointments with your plastic surgeon.

I hope that helps and wish you all the best.

Asymmetry at 3 Weeks Following Breast Augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

   Asymmetry at 3 weeks following breast augmentation may be due to aymmetric implant descent, asymmetric chest wall, preoperative symmetry, or a combination of all these things.  Give at least 6 months in this situation to properly assess the results of the surgery.  Kenneth Hughes, MD breast augmentation Los Angeles, CA

Breast Asymmetry After Augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

At 3 weeks, the breasts are still changing. It is possible that there will be improvement for up to 3 months.  However, with scoliosis and rib cage asymmetry, complete correction of breast asymmetry may not be possible. It is best to wait before deciding whether to undergo another procedure.

Some saline implants have a valve that allows for postoperative adjustment, which can be helpful in difficult asymmetry cases. However, if the asymmetry is mild, it may be best to accept it.  Approximately 90% of women have some asymmetry, so it is not abnormal.

Encourageing Implants to Drop

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Glad to hear you are healing so well. My patients sometimes have one implant that is a little slower to drop than the other. At 5 weeks or so, I sometimes have them place their hands over the upper third of the high breast and push toward their ribs. They hold the compression for 10 seconds and do 10 reps an hour when possible. This can help push the implant lower on the chest, stretching the pocket a bit. Check with your surgeon first to see if this is a good option for you.

James N. Romanelli, MD, FACS
Long Island Plastic Surgeon
4.4 out of 5 stars 25 reviews

Asymmetry After Breast Augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}


Thank you for your inquiry.

It seems that you have already started with asymmetrical breasts before you have had your surgery.

Also, at 3 weeks post-op it is too early to judge the results of your surgery. At this point, it is best to be a little patient and let nature take its course.

Unfortunately, at this point without a physical examination and knowing the full details of your surgery it is not possible to provide you with a solid reason of why you are exhibiting the asymmetry stated in your post.

I hope this helps and the best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Asymmetry After Breast Augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is so early in the game to really know what your final shape will be. I think you have to give the breast implants at least 3-6 months to settle down and let your shape settle out.

Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 54 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I advise patients to wait a full three to six months before making any final judgements regarding secondary procedures.

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon

Breast asymmetry

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Slight asymmtery is normal. Yes, sometimes that happens where the smaller side becomes the larger one.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Asymmetry after Breast Implant Augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Dear Honkytonk,

Breast asymmetry is actually very common, and technicall is virtually ubiquitous. As I always say: no two breast in the world are identical. So, this is a problem that almost every woman in the world has noticed. Asymmetry that is enhanced or created anew after breast implant augmentation is not uncommon, especially since there was a notable difference in the first place, and since a technique of differently-sized implant placement was used to try to ameliorate this problems. Changes in implant position and consequent cosmetic appearance is normal, and happens during the first few months. Technically speaking, however, this process never stops, as the implants settle with gravity and time. My suggestion is discuss this matter with your plastic surgeon and follow-up closely. He/she knows your body best, and he/she should be able to helps. Good luck and fare well.



Daniel Kaufman, MD, MSc

Board-Certified Plastic & Reconstructive Surgeon

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.