Breast Implants and Scoliosis? (photo)

Question

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?

Gerald Minniti, MD, FACS · Answer

Hello,

	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!

Stephen Bresnick, MD · Answer

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

Boris M. Ackerman, MD · Answer

It is very important that the plastic surgeon makes a note before the surgery the existing asymmetry of the breasts. This includes the skeletal issues of the rib cage, breast position asymmetry as well as nipple asymmetry. Only then the appropriate corrective steps can be taken. It appears that in your case preoperative asymmetry became more pronounced. After at least a 6 month wait, revisional surgery might be indicated. This could include adjustment of the pocket, selection of different style implant as well as possible nipple repositioning.

Kenneth A. Marshall, MD, FACS · Answer

Speak with your BCPS about doing a nipple revision procedure to make them more even. This should be a minor procedure...

Peter E. Johnson, MD · Answer

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 Implants and Scoliosis? (photo)

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Breast Implants and Scoliosis? (photo)

Answers (10)

Answer: Breast Implants and Scoliosis?

Answer: Breast Implants and Scoliosis?

Answer: Scoliosis and breast asymmetry challenges

Answer: Scoliosis and breast asymmetry challenges

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.