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 16

Discuss your conscerns with your plastic surgeon

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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

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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
4.9 out of 5 stars 82 reviews

Too early to make any judgment

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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 35 reviews

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Careful with bandeau

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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

Give it some time

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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

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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 in the Immediate Post Operative Period

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Thank you for your question.  

You are still very early on in the healing process and I would caution you from judging your final results until you are at least six months out from surgery.  With that said, I understand a patients worry in the immediate post-operative period as patients cannot see what we as surgeons can on the operating table.  Once the breast pocket is closed the great operating room result becomes distorted, as swelling increases and the chest muscle reacts to the new, 'foreign' implant.

I would recommend scheduling a follow up with your operating plastic surgeon to discuss your concerns and any questions that you have.  It would be helpful to take a look at your pre-operative photos as some of the asymmetry that you are concerned with might be the result of natural asymmetries that a breast augmentation alone cannot correct 100%.  I hope you find this helpful and best of luck on your recovery.

Breast Asymmetry

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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
4.9 out of 5 stars 65 reviews

Asymmetry Following Breast Augmentation

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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

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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

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.