Why are my breast implants asymmetrical? (Photo)

Question

I had a breast augmentation in late July of 2021. I have been very patient with my recovery process, however, I feel as if my left breast never dropped and my right one dropped "too much". Is it still possible for them to look more even or will I have to do revision surgery?

Donald R. Revis Jr, MD · Answer

Good afternoon,
Your asymmetry can really only be corrected with surgery- which would include raising your low implant and lowering your high implant so that they meet at a happy place in the middle!

Vasileios Vasilakis, MD, FACS · Answer

Thank you for your question. It is difficult to determine the cause of this asymmetry without an in-person examination. You should discuss this with your surgeon. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Daniel Barrett, MD · Answer

Dear sofy97,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

At six months post op your implants are unlikely to change significantly.  Correction to bring the implants into better symmetry would involve surgery.  I encourage you to return to your surgeon to discuss your options.

Connie Hiers, MD, FACS · Answer

Perhaps external ultrasound treatments could help soften the tighter side. Otherwise, you will need surgery to lower that implant.

Douglas J. Raskin, MD (retired) · Answer

Greetings,
Your breast asymmetry (seen in your single photo) may benefit from a revision.  You should return to your plastic surgeon to discuss and decide upon the best option(s) for your care.  At the time of your re-examination,  issues of present capsule firmness and breast positions can be discussed. The pre-surgical breast positions on your chest can be reviewed, as well.   
Best Regards,

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note that your right breast demonstrates implant drop out (or bottoming out) where the implant drops below the fold at the bottom of the breast. This phenomenon occurs more commonly in patients with scant breast tissue, or if larger sized implants were used. If the supporting tissues of the crease are not strong enough to hold the implant in place, the implant will drift downward.It is difficult to ascertain left implant positioning as your emoji obscures nipple areolar placement.At 6 months out from your procedure, the implant has settled into position and will not demonstrate any further significant change. You may wish to consider revision. 15% of cosmetic surgeries will benefit from secondary revision. Revisit your plastic surgeon for evaluation, examination, and discussion.Best wishes...

George Lefkovits, MD - Account Suspended · Answer

After 6  months post-op I don't think your breasts will change much. You should return to your surgeon for evaluation. Also you should review your pre-op photos to see if there was a prior asymmetry.

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