320cc moderate low & breast asymmetry, how to best correct? (Photos)

Question

I am very concerned about the size and high riding position of my left breast implant and am contemplating a revision. The deformity is causing the appearance of a droopy left breast versus the right and an obvious nipple height asymmetry. The fold position seemed symmetrical pre-op, but the left fold post-op is approximately 2cm higher than the right. What are the possible causes of this, and the possible treatment options to ensure a symmetrical result. The implants are 320cc moderate low.

Daniel Barrett, MD · Answer

Dear jmil688,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

Low implant high nipple, high implant low nipple. Your surgeon needs to open the pocket on the higher implant/low nipple side. Fixed!

Gary M. Horndeski, MD · Answer

If you look at your pre-operative photograph, you will see that your breasts were asymmetrical and one nipple-areola complex was lower than the other. You also have very small areolas. At this time, this seems to persist and seems to be amplified by the additional volume. You would benefit from a circumareola lift to reposition the nipple-areola complex to create symmetry. You may also benefit from reducing the size of the implant on the large side.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Your asymmetry was not addressed with the augmentation. You need a lift to correct the difference. Once lifted, the difference between the folds could be addressed if needed. The photos with your hands on your breasts are not especially helpful since you are pushing your breasts.

320cc moderate low & breast asymmetry, how to best correct? (Photos)

Answers (4)