One Breast Larger Than the Other After Breast Augmentation/with a Lift. Is This Normal ??

I am 2 days post op and my left breast was slightly smaller pre -op. I received 425 cc in both Right and Left (moderate profile plus). My left breast is much more swollen and larger compared to my right breast. Is this normal ??

Doctor Answers 16

Breast Asymmetry after Breast Augmentation/Lift?

Although it is normal to have a moderate amount of breast asymmetry after breast surgery “much more swelling"  is not normal. It would be in your best interests  to communicate (and probably be seen) by your plastic surgeon as soon as possible to rule out a complication.

Best wishes.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Post-Operative Breast Asymmetry

It's not unusual for patients to note breast asymmetry immediately following breast augmentation surgery. This asymmetry can occur for a variety of reasons, but is often related to swelling which takes time to resolve. It usually takes about 4 to 6 weeks for enough swelling to resolve to make aesthetic judgements possible. In your case, it's virtually impossible to make a recommendation without pictures or a physical examination.

At three months, the majority of patients are happy with their symmetry and aesthetic result. It's, therefore, important to be patient in the immediate post-operative period. It's also important to discuss these issues with your plastic surgeon. Your surgeon can rule out more serious problems such as hematoma formation, implant migration and other causes of post-operative asymmetry. Hopefully, he can alleviate your anxiety and ultimately make this a better experience for you. Unfortunately, some patients require revisional surgery for asymmetry when breast augmentation and breast lift are performed together. For this reason, it's important to maintain close contact with your plastic surgeon.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Size discrepancy following breast augmentation.

At 2 days, it is far too early to tell. After a breast augmentation, you will have swelling in each breast and it is not uncommon for one breast to swell more than the other. This process can take as long as 12 weeks until all the swelling resolves. If the breast is increasing in size, you should see your plastic surgeon to be sure you do not have a hematoma or collection of blood within the breast. Close followup, adherence to the postoperative instructions, and being aware of changes in the breasts are necessary following a breast augmentation. Any concerns should be brought to the attention of your surgeon prior to the attention of an internet forum.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 25 reviews

Breast Augmentation asymmetry

It is very common to have different sized breasts both before and after surgery. In fact, not only are the sizes often different, the position on your chest, amount of sagging, position and size of nipples and even the general shape of the breasts is almost always different from one side to the other. Some patients have a more noticeable difference than others, but even models have some asymmetry. Nobody is perfect.

In your case, I would not get too upset at this point. Two days after surgery is a little early to be judging your results. It takes 2-3 weeks for the initial swelling to resolve. It can take 2-3 months for the swelling to completely go down. Try to be patient and your will likely find that your results will improve over that time.

I hope this info helps!

Adam Rubinstein, MD
Miami Plastic Surgeon
4.9 out of 5 stars 20 reviews

Breast asymmetry

No two breast are exactly the same and certainly early post-op, there may also be differential swelling. If they are really very different, I would be concerned about a hematoma especially if one breast is much more painful than the other. If so, call your doctor ASAP.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Asymmetry After Lift With Implants

Minor or small differences between breasts after surgery are not uncommon and usually resolve with time. However, perfect symmetry is not always possible. If one breast is significantly different in size or shape, then you should discuss this sooner rather than later to be sure that a hematoma has not developed. If this is the case then surgery may be needed to remove the excess blood. Good luck.

Douglas L. Gervais, MD
Minneapolis Plastic Surgeon
4.8 out of 5 stars 176 reviews

Asymmetry after Breast Augmentation

If there is a marked asymmetry in the first few days after surgery, then you need to let your doctor know right away to make sure there is no fluid collection or bleeding - this would be very unusual but should be checked out.  If there is a slight asymmetry or contour difference, then you should also point this out at your follow up appointment.  It may just be due to swelling and more often than not evens out over the next few weeks.


Good Luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

Post-operative asymmetry

As has been mentioned by the other respondents, it is not uncommon to have some degree of asymmetry after surgery. Typically this resolves with time but if you have "much more" swelling on one side you should be evaluated by your plastic surgeon to see if there is any sign of bleeding or fluid collections that can occur around the implant. This would usually cause quite a bit more pain on the affected side, possibly show bruising and you would not be able to use that arm as readily as the less affected side. The bottom line is that you should contact your plastic surgeon to be evaluated to hopefully reassure you that your recovery is progressing well. I hope this helps.

Michael C. Edwards, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 35 reviews

Difference in size after breast augmentation

Although it is difficult to say with examining you, I am highly concerned that you have a hematoma around your implant.  Although swelling can change sizes, if your smaller breat is now larger, as a surgeon, i would assume a hematoma until I saw that it was not. 

You need to contact your surgeon. If it is a hematoma, fixing it is easy.  A quick trip to the OR to clean it out and you will be back in shape.   Good Luck!

Gordon Lewis, MD
Midlothian Plastic Surgeon
4.8 out of 5 stars 23 reviews

Swelling after breast augmentation

It is not uncommon for swelling to be uneven after breast augmentation surgery. However, if the swollen left breast is red, tender, has streaking or if you are febrile, then there would be cause for concern. To alleviate your anxiety about this, you should see your plastic surgeon in followup.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

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.