Breast Very Uneven After Augmentation

Thank you for the question. The breast asymmetry that you are referring is commonly experienced, early in the postoperative period, after breast augmentation surgery. Often, breast implants “settle” at different rates. Of course, online consultants will not be able to  reassure you adequately;  your plastic surgeon, after in person examination will be your best resource for advice and/or reassurance.   Ultimately, I think that only time will tell whether the breast symmetry will improve over the course of the first several months after the procedure was performed.
 Of course, generally speaking, patient should be aware that absolute symmetry of the breasts is rarely present before or after surgery;  hopefully, the degree of breast asymmetry that you experience in the long-term will  not be bothersome.  My patients have to tolerate me saying:  “sisters, not twins” or "breasts are like snowflakes, each one pretty, but different” during each visit.
For precise answers to questions regarding returning to exercise, you may wish to request an earlier than  already scheduled follow-up with your plastic surgeon.
Best wishes.

It is way to soon to assess the results of your surgery. If there was right left asymmetry before surgery and the exact same surgery was performed on the 2 sides there is no way the result could be symmetric. These issues should be discussed with your surgeon before surgery not after surgery with surgeons who have never seen you or a photo of you and have never examined you. This is not a logical approach.

Furthermore if you are petite the main issue is breast implant base diameter rather than actual implant volume. You can have the same volume with different base diameters and front to back projections. You need to first pick an implant whose base diameter will fit and then decide on the available implant volumes with those specifications. Again this should be done before surgery not afterward. If you place too large a breast implant base diameter for the patient's rib cage frame the breast contour can be squared off instead of a smooth curve, the risk of inframammary crease disruption increases, the risk of symmastia (unibreast) increases etc.

It takes a few months in some cases for the swelling to go down all of the way.  If you started with uneven breasts and the same size implants were placed without reducing the size of the bigger breast, you can expect the breasts to be asymmetrical after the swelling is gone.  Asymmetrical breasts are very common as 2 sides of the body are not identical.