I just recently had my breasts done. I was a 32 A, got 350 cc, under the muscle, and the incision was from under the breasts ( don't know what that's called). I have scoliosis, and my nipples along with my breasts ended up being lopsided. They were lopsided before, but its very noticeable now. I am 18 days post op now. Will my breasts go back to normal?
Breast Implants and Scoliosis? (photo)
Doctor Answers 10
Breast asymmetry and scoliosis
Uneven Breasts: The Effect of Breast Augmentation Procedures
Patients undergoing breast augmentation who start out with uneven nipple positions often find that the nipple position asymmetry is not corrected with breast augmentation alone. If one nipple is lower than ideal, it can be raised. Yet if one nipple is higher than normal, breast implants may further elevate the higher side, magnifying the initial difference.
There are several ways that this can be revised in the future if desired. An implant can be elevated, bringing the higher nipple down. The lower nipple can be elevated, bringing the lower nipple in better line with the opposite side. Other options also exist.
For now, enjoy the very nice volume enhancement, even fullness achieved, and attractive cleavage. After a period of healing, chat with your doctor about potential options for revision. Best wishes, Dr. Bresnick
Breast Augmentation in patients with Scoliosis
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It’s hard to say if they will ever be back to normal as you said. Can you post some before pictures, if you said they were uneven before the surgery there just more noticeable now after implants. Sorry to say if they were uneven before they are going to stay uneven now.
Breast Implants and Scoliosis?
Speak with your BCPS about doing a nipple revision procedure to make them more even. This should be a minor procedure...
Scoliosis and breast asymmetry challenges
Some forms of breast augmentation are not 'routine' and skilled judgement and trade-offs come into play. Scoliosis can produce significant asymmetry in skin envelope and nipple position, and shift in the chest wall shape. If the nipple was lopsided before and correction not taken into account, the asymmetry and be 'augmented' along with the breast volume. Currently the size is equal though the nipple position is not, and is unlikely to become so. If you are troubled after six to twelve months, revision and reduction of the implant size, adjustment of the pockets, and an lift of the lower nipple can help place things into better balance.
Breast Augmentation Asymmetry
Your scoliosis has little to do with your current appearance, and it is your original breast/nipple asymmetry that is causing this problem. Your surgeon was careful to place the implants at an 'even level', however, your breasts were not at an even level. So, one breast implant has filled out the lower pole of your breast much more than the other implant did to it's respective breast. This actually makes the lopsided appearance of your nipples worse.
You should rest, heal and be content for now. You will need to have an adjustment of your implant at a later date, when your internal tissue has solidified (the capsule), and your skin has softened and relaxed, at least 6 months. The outcome of a revision surgery will result in you implants sitting at different levels to accommodate each breast properly. This will be less obvious than your current situation.
Best of luck!
Breast Implants and Scoliosis
Breast asymmetry is very common in patients with scoliosis.The asymmetry of the spine affects the anterior chest wall as well
The nipple position can be elevated by lowering the inframammary fold.So if the fold is initially higher on the one side ,the nipple will elevate if the fold is lowered
The nipple can be lowered by placing a tissue expander at the first procedure in the upper pole of the breast and expanding the upper tissues of the breast .When the volume is reduced ,the nipple will be lowered,then the fold can be adjusted
Unfortunately this is a prolonged procedure and the breasts will be uneven for about three months
At this stage it may be best to lower the right nipple and elevate the left nipple with a circum-areolar incision
#BreastAugmenation and Asymmetry
From your photos, it appears that the volume is relatively equal, but the nipple position asymmetry is obvious. It is difficult to give you more information as this is likely related to the pre-op plan. Some asymmetries are a challenge to fully correct, but if you were asymmetric to start and nothing was done to try and improve this, then it will be more noticeable after an augmentation - everything is magnified.
Wait several more months to see how things settle, and a revision procedure may be possible in the future to help even out your appearance.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon
You will likely benefit from areolaplasty when healing is complete
Thank you for the photo and the question. Although we do not have a side view of your breasts it appears that the implants are positioned symmetrically. The asymmetry of the position of your areolas will therefore require an "areolaplasty" which will move the higher areola complex lower and the lower one higher. Its a challenging situation and it may in fact be that the position of your areolas will still not be perfectly symmetric but it will be much better. At this time I would wait for full healing to occur. If and when you decide to get the areolaplasty I would encourage you to see a board certified plastic surgeon that has experience in this area.
All the best,
Dr Remus Repta
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