I had breast augmentation 12/14/2017 and it looks awful to me. It looks like one breast is much bigger than the other. I breast fed so one breast was bigger from that but this looks awful. I had 450 cc, silicon, under the muscle. To me, I think Dr. Accidentally put 2 different size implants in. I'm going to see my doctor next week.
Answer: Your surgeon can provide you implant information and cards to let you know exactly what you go. If you started out obviously fuller on one side, it will still be a little bigger but usually, when you add volume to breasts, it diminishes the ability to appreciate the size difference. You do have an obvious asymmetry in volume but try to be patient and let yourself heal and once healed, if you are obviously asymmetric to where it remains obvious, talk to your surgeon for options on how to make this better. You could replace your implant, you could have fat grafting, or you could have the larger side reduced slightly but this comes with scars. I'm hoping you will heal closer to equal and not need anything done.
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Answer: Your surgeon can provide you implant information and cards to let you know exactly what you go. If you started out obviously fuller on one side, it will still be a little bigger but usually, when you add volume to breasts, it diminishes the ability to appreciate the size difference. You do have an obvious asymmetry in volume but try to be patient and let yourself heal and once healed, if you are obviously asymmetric to where it remains obvious, talk to your surgeon for options on how to make this better. You could replace your implant, you could have fat grafting, or you could have the larger side reduced slightly but this comes with scars. I'm hoping you will heal closer to equal and not need anything done.
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January 23, 2018
Answer: Why do I have asymmetry after #breastaugmentation? You state that you had preexisting asymmetry. If that is the case, then the use of identical implants on both sides would be EXPECTED to maintain some asymmetry. Sometimes, that is not a bad decision if there is under about 25g (25cc) of difference based on the fact that implants are not made in precise increments of less than about 25cc in silicone. Otherwise the two devices would have slightly different diameters; this is ok in most patients but occasionally the right decision is to accept a small amount of asymmetry of volume that is within subtle, normal limits.You may also have had asymmetry of breast POSITION, which is often retained unless specific maneuvers, which are not always successful, are done to deliberately try to correct this asymmetry of position. Usually this kind of correction of asymmetric preop position requires a lift technique, which typically means different/additional incisions than what you have for a straightforward augmentation.Your asymmetry is fairly modest on the photo but only an exam would suffice in order to properly assess that. You are early in the healing process, so the implants may settle further and then you can discuss whether that is pleasing or not. The last comment is that nobody can tell you on a photo OR exam what size implants you have. It depends in part on how much volume you had before surgery (which requires preop exam/photos) and also it's kind of like a "guess your weight" exercise; an experienced observer may come close but can not tell definitively. The definitive documentation is your operative report and the implant card/stickers you should have gotten from the surgicenter. Implants have a unique serial number and both the SN and the catalog number should be on the documentation you have for each side. This will at least help you answer whether the same size/style implant was used on both sides. It would be rather rare for a surgeon to "accidentally" use the wrong size implant and your documentation should show what was used unequivocally. Ask the facility/surgeon for copies if you can't find your implant card.
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January 23, 2018
Answer: Why do I have asymmetry after #breastaugmentation? You state that you had preexisting asymmetry. If that is the case, then the use of identical implants on both sides would be EXPECTED to maintain some asymmetry. Sometimes, that is not a bad decision if there is under about 25g (25cc) of difference based on the fact that implants are not made in precise increments of less than about 25cc in silicone. Otherwise the two devices would have slightly different diameters; this is ok in most patients but occasionally the right decision is to accept a small amount of asymmetry of volume that is within subtle, normal limits.You may also have had asymmetry of breast POSITION, which is often retained unless specific maneuvers, which are not always successful, are done to deliberately try to correct this asymmetry of position. Usually this kind of correction of asymmetric preop position requires a lift technique, which typically means different/additional incisions than what you have for a straightforward augmentation.Your asymmetry is fairly modest on the photo but only an exam would suffice in order to properly assess that. You are early in the healing process, so the implants may settle further and then you can discuss whether that is pleasing or not. The last comment is that nobody can tell you on a photo OR exam what size implants you have. It depends in part on how much volume you had before surgery (which requires preop exam/photos) and also it's kind of like a "guess your weight" exercise; an experienced observer may come close but can not tell definitively. The definitive documentation is your operative report and the implant card/stickers you should have gotten from the surgicenter. Implants have a unique serial number and both the SN and the catalog number should be on the documentation you have for each side. This will at least help you answer whether the same size/style implant was used on both sides. It would be rather rare for a surgeon to "accidentally" use the wrong size implant and your documentation should show what was used unequivocally. Ask the facility/surgeon for copies if you can't find your implant card.
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