19 days post op Breast Lift with silicone implants under the muscle, one side is bigger than the other. Will it even out?(photo)

Your post-operative pictures demonstrate significant breast asymmetry following the combination of breast augmentation and breast lift surgery. In addition, your pre-operative pictures demonstrate relatively good symmetry. During your surgical procedure symmetric breast implants were utilized. Despite this, you have significant asymmetry following surgery. The magnitude of this problem suggests that this is more than swelling alone.Although your pictures are helpful, determining the exact cause of this asymmetry is difficult without a physical examination and further studies. Under these circumstances, it's important to rule out seroma formation or hematoma formation. This may require radiographic studies or ultrasonic studies to determine the causation.Hematomas require re-operative surgery to control bleeding and evacuate residual blood within the breast pocket. It's important to recognize and treat hematomas following this type of procedure promptly to avoid secondary complications. Untreated, hematomas can result in significant capsular contractures. They can also result in the development of infection and the loss of breast implants. In light of your concern, it's important to seek consultation with your plastic surgeon.

Yes, you are early after surgery, and yes, your breasts were different before surgery. But your photos show a significant asymmetry, more than can be attributed to swelling or inflammation.Without a physical examination or ultrasound, it is impossible to accurately identify a hematoma or seroma, but your marked size discrepancy makes me concerned about either of those possibilities, and antibiotics won't "cure" or solve either--you need surgical evacuation of the blood/fluid.I am also concerned about the visibly-longer vertical limb of your lollipop lift on the left breast compared to the right. You certainly had more ptosis pre-operatively in your left breast, and this seems to have required a much longer suture line below your nipple on that side.  If revisionary surgery is necessary to correct this skin brassiere problem, I would wait at least 6 months, and maybe a full year, so the "next time" it has a higher likelihood of success. And I would consider a full Wise (anchor) pattern to correct the skin excess in two dimensions instead of just one. But your more immediate concern is whether or not there is blood or fluid in that left breast, or if your present appearance is simply a result of your surgeon's choice of breast lift pattern. Best wishes! Dr.Tholen

Hi C,It appears you have a wonderful improvement with a definite lift.  One breast "appears" larger in your preop photo, so assuming you had 250cc on each side, then that size difference will remain.  But the bottom line is that you are real, real early in your healing course, so give it many more months, and keep your surgeon in the loop as things settle in.  All the best, "Dr. Joe"