What to Do For My Lopsided Breast Implants? (photo)

Hello. At 6 months I would expect the implants to have settled into their final position. The right definitely appears to be higher though judging by the picture you posted. If it was my patient I would be ok performing a revision at 6 months post op.

Jaime Perez, MD
Breast Augmentation Specialist
Plastic Surgery Center of Tampa

  The higher implant may drop further.  However, preoperative pictures would be useful in this discussion to determine the position of the areolae.  Kenneth Hughes, MD Los Angeles, CA

Hello,

Thank you for the question and photos.  It appears that you had some type of breast asymmetry before surgery as different size implants were selected.  The different implants are different in overall volume but also in width and projection.  From your post op photos I notice that your right breast is less full laterally (on the side) as well as at the bottom, and more full at the top.  At 6 months, if you are not seeing any more changes you should proceed with revision.  You will likely need pocket revision and may also need implant replacement.  There is a chance that you may also need a purse string areolaplasty if your areola positions are still asymmetric.

All the best,

Dr Remus Repta

Breast asymmetry is very common.  Trying to correct small amounts of asymmetry with different sized implants typically results in a different type of asymmetry.  If it is done with saline implants, small volume differences can leade to better symmetry with if the same size implants are used.  With silicone implants, since they are pre-filled, a difference in volume also means a difference in  base diameter.  This is probably the cause of your assymetry at the upper pole of the breast.  You should accept your pre-existing asymmetry and ask for one of your implants to be replaced witht the exact size of the side that you prefer.  This will get you better symmetry.  Waiting 6 months will not change the shape.  All the best! 

It would be really helpful to see some preop photos, and side views of the postops.

Based upon the single photo, the implants look very even in terms of size and position. What does look different is the nipple/areolar position. SInce you have received different sized implants, you probably had size difference before surgery, and likely also difference in areolar position.

A decision for surgery would be based upon more than just a photo, but I think a breast lift to make the nipples and areolas more even would be helpful. I don't see much reason for delay beyond this point unless there has been improvement over the past three months.

All the best