One Breast Larger and Lower Than Other After Breast Lift and Augmentation

Question

After my lift and implants i noticed that the right breast was so tighter bigger and swollen and dropped beneath the crease line and i immediately told my surgeon and he said this would resolve. I asked him if this could be Hematoma and he said it as swollen because he did more work on that breast. 4 weeks later its still bruised less swollen but still bigger than left like 1/2cup bigger and lower than left breast and he said there is some hematoma and that my body will absorb it. Is this true?

Christopher V. Pelletiere, MD · Answer

Unfortunately, without seeing you, it is hard to say what is going on. The only thing I can say, though, is that it takes at least 2-3 months for everything to settle, swelling to go down, etc. Be patient, and after three months if you have big asymmetry or other issues, then it is a good time to address them with your surgeon.

Young R. Cho, MD, PhD · Answer

Thank you for your question and for sharing your photos.  During the post-operative period the breast are swollen, and the breast implants appear in a much higher position.  Over time they descend and fills out the lower half of the breast. In addition, it is not uncommon for one breast to be more swollen than the other and may even out with time (unless they were asymmetric in size to begin with).  It may take several months for this to happen and can be encouraged with breast massage and compression.  It may appear that the breast enlarges as the lower aspect of the breast fills out (at the expense of the upper portion of the breast).

Otto Joseph Placik, MD · Answer

IT is difficult to manage this online but hematomas can resolve without complications or they can result in a greater incidence of capsular contracture. Your options are drainage or observation with either succesful resolution or capsular contracture. I would wait at least 6-9 months before considering revision. Keep inlcose contact with your surgeon.

One Breast Larger and Lower Than Other After Breast Lift and Augmentation

Answers (3)