Right breast bigger than left! 3 weeks post op, will they change over time? (photos)

Question

Right 535 CC's / left 480 CC's .Over the muscle My left breast was larger pre op due to that additionally CC's where needed for the right breast . I'm now 3weeks post op . My right breast is significantly larger the left and it's scary! left one is softer and seems to be smaller at all angles . Im actually quite fond of the right breast with it being larger ...not only am I worried about my breasts being two different sizes . Do subglandular implants change shape or size with time ?

Paul Vitenas, Jr., MD · Answer

Thank you very much for your question and
photographs. Congratulations, as well, on your recent breast augmentation. At
three weeks post-op, asymmetry is normal. Each breast will heal and settle at
its own pace, however over time, they should even out. Your breasts are still
swollen and have not fully dropped into the breast pocket, yet. Give your body
time to recover, and carefully follow your operating surgeon’s post-op
instructions. If you have any further concerns, I suggest reaching out to your
surgeon for their advice.

Kenneth Hughes, MD · Answer

At 3 weeks post op is too early to see final results, it is normal to be swollen this much give it time for the implants to settle about 4-6 months.

Aldo Guerra, MD · Answer

I would be so happy  to answer this question. 
First, 
congratulations on your recent breast implant surgery. I think you're 
making normal progress for 3 weeks since surgery. It is normal at this time due to differences in swelling and tissue factors to have some asymmetry. Implants take time to 
drop and fluff. The tissues have to stretch and accommodate the breast 
implants. You should absolutely discuss these concerns with your plastic surgeon, 
but I believe you're doing well.Dr. ALDO

Gerald Minniti, MD, FACS · Answer

Hello,This is a common phenomenon due to the fact that some women's breast are not just asymmetric in size, but also in shape, that is to say one has more skin than the other, almost always the larger breast. So, if all the surgeon does is compensate for volume, the smaller breast will look much higher, firmer, and filled, the larger one that gets the smaller implant will look sad and droopy.  ABPS certified/ASAPS member surgeons who specialize in all forms of cosmetic breast surgery could have helped you make better decisions, including the use of a breast lift/reduction to equalize your original breasts, placing the implant in a dual plane/subpectoral position, and avoiding nipple incisions, the latter two to minimize your risk of capsular contracture. Best of luck!

Tom S. Liu, MD, MBA · Answer

Thank you for your question! It is very common for patients to notice some asymmetry during their early healing process after breast augmentation surgery. It takes some time to see your final results, so it is important to be patient. Make sure to consult with your board-certified plastic surgeon regarding any questions or concerns during your recovery as he or she knows you best! Congratulations on your procedure!

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. At only three weeks since surgery, it is much too early to be worried about your final results. Try to be patient and wait until at least three months before evaluating your results. Keep in touch with your PS and follow his or her instructions.Best of luck!

Farbod Esmailian, MD · Answer

Congratulations on your surgery.  Trying to obtain perfect symmetry postoperatively when the breast are asymmetrical preoperatively is not an easy task.  They will never be the same but should be pretty close.At this point I do see your what you are concerned about, however you are so early in the healing period that what you are seeing may just be swelling and/or one implant settling faster that the other.  Be patient and reassess your results when you are 4-6 months out from your surgery.The answer to your question is yes, subglandular implants will still need to settle and drop.Hope that helps.

Daniel Barrett, MD · Answer

Dear garzaa004,I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process at 3 weeks  post op.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Brian K. Reedy, MD · Answer

Thank you for your question and congratulations on your recent procedure! While it takes several months for your breasts to settle into place, you may also be experiencing some residual swelling on top of that. Give your body some time to heal, as you are already healing quite nicely. Good luck and congratulations again!

Paul Phillips, MD · Answer

Congrats on your breast augmentation! It appears you have a great result so far.  The usage of different sized implants does not guarantee symmetry post-op.  At 3 weeks, you are still swollen and the implants have not yet settled into their final position.  Continue to be patient but address your concern with your surgeon.  Good luck!

Right breast bigger than left! 3 weeks post op, will they change over time? (photos)

Answers (19)

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