Uneven Results from Breast Implants

I am a week out of breast augmentation. I received 250cc saline smooth implants under the muscle. And ever since day two, I’ve noticed the left breast implant showing on the side and sticking out the bottom. Making it hang lower, yet the nipples are symmetrical.

Is this a problem or is this normal while it heals? My right breast has looked normal (minus minor swelling) from the beginning. Which is why I am more alarmed with the left breast. I feel that depending on the angle and light hitting my breasts, you can see the implant sticking out more on the left side & underneath. It feels squishy too. Do they appear to be too far apart?

Doctor Answers 15

Discuss your conscerns with your plastic surgeon

I would continue to see your plastic surgeon in follow up and discuss your concerns with him. Examine your pre-operative photographs with him/her. You are very early in the healing phase and have a long way to go.

Optimal results following breast augmentation are not seen until 3-4 months postoperatively. Be patient! I wish you the very best and I hope this helps!

Englewood Plastic Surgeon

The breast implant is too low

It appears that the implant is too low and is causing a double bubble deformity. Take off the upper pole band and begin wearing a supportive bra 24/7. You may be able to get the implant to heal in the proper position. If not, you may need surgery to close the lower portion of the implant pocket.

John Squires, MD
Denver Plastic Surgeon
5.0 out of 5 stars 72 reviews

Too early to make any judgment

Hi Jenga

One week out from breast surgery is too soon to make any judgment. If the nipples are at the same level, that is a very good start. Remember to think back to what your breasts were before surgery. Were they the same? In the vast majority of patients (if not all) the breasts are different even if the nipples are at about the same level. They will be different after surgery also.

So let the healing continue, keep your doctor informed about your concerns and hang in there. Most of the time it takes a good 6 weeks to really see where things will settle. Good luck as you recover.

Francisco Canales, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 27 reviews

Careful with bandeau


I am confused as to your description and the photograph. It appears that the issue is on the right, not left. Please clarify if you can. Either way, the asymmetry is noted and at this point could be handled by selective wrapping or a garment in an effort to mobilize the implant and maintain the pocket. The bandeau as demonstrated may be making things worse and needs to be considered. The surgeon should be consulted at this point.

Michael A. Marschall, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 9 reviews

Give it some time

It is important to wait at least 6 months to 1 year before making a judgment about your breast augmentation. Everyone heals differently and in different time frames. Your implants will settle over the next several months and sit differently than they are now. If you are still unpleased with your result after a year, go back and talk to your surgeon. Voice your concerns and discuss your options.

Please refer to my answer to your other question

Looks like you have posted the same question, now with an arrow to point out the issue.  My other answer still stands - please take off the strap and stay close to your surgeon during the recovery.

Breast Asymmetry

Hi there, thanks for posting your photo. You are still very early in your recovery and I suggest waiting until you are fully healed before judging your results. After that, address your concerns with your surgeon directly. Best to you. -Dr. Coan

Brian Coan, MD, FACS
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 37 reviews

Asymmetry Following Breast Augmentation

It’s not unusual for patients to have transient asymmetry following breast augmentation surgery. In the vast majority of cases asymmetry resolves with the passage of time. In most cases it’s related to swelling, skin tightness, and muscle spasm.
In this particular case, it’s difficult to assess your asymmetry and it’s even more difficult to make a recommendation. Your pictures are difficult to interpret because of clothing across the top of your breasts which compress and distort the surrounding breast tissue. Although the left breast implant bulges laterally this could be related to your clothing. In addition preoperative pictures and a physical exam would be helpful to determine if asymmetry was present prior to surgery.
It’s important to realize that swelling and asymmetry are extremely common in the first several months following breast augmentation. For this reason, it’s important to discuss this problem with your plastic surgeon. Your surgeon should be able to formulate a treatment plan and hopefully reassure you.

Uneven Results from Breast Implants

In reviewing your photographs asymmetry is noted.  However, it is too early to pass judgment on your result.  The compress band above the breasts may be contributing to the problem.  See your Plastic surgeon and follow his advice.

Thomas Guillot, MD
Baton Rouge Plastic Surgeon
4.5 out of 5 stars 12 reviews

Uneven Results from Breast Implants

Pertaining to your breast photos and any other patient, it is best to wait several months and let the implants settle in before making any kind of judgment concerning the results.  Let them settle then if you are concerned speak to your surgeon about them and review your pre and post op photos.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
4.5 out of 5 stars 86 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.