One breast is saggy after breast augmentation. (photos)

4 months ago I got breast augmentation, silicone gel implant high profile 20style natrelle 325 cc. Now my right breast is too low and I do not feel it is full and no volume. Could it be the wrong implant's size? Did I have to go with saline implant to have fullness and avoid uneven boobs?

Doctor Answers 7

Breast asymmetry

Your asymmetry is due to pre existing asymmetry not implant selection.  Only a lift would improve asymmetry and probably not worth the scar in your case.


Fairfax Plastic Surgeon
4.7 out of 5 stars 49 reviews

Asymmetry after breast augmentation.

From the photographs provided it looks as though there was some asymmetry prior to the breast augmentation. In my opinion is relatively modest. Only another operation would correct this and probably would involve the mastopexy. You probably should accept the result.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 32 reviews

Sagging after breast augmentation.

In your preoperative photos, you have an asymmetry. The right side is slightly larger and the nipple slightly lower. Your preoperative right breast has less superior pole fullness as compared to your left. Your BA made these subtle differences more obvious, but gave you an improved superior pole on your right side. Saline implants would not have made a difference. Overall nice result. Good luck and be well.

Kevin Maguire, MD
Vermont Plastic Surgeon
5.0 out of 5 stars 9 reviews

Asymmetry after breast augmentation

Your breasts were naturally asymmetric prior to surgery. That is fully reflected in your post surgical results. You need to speak with your plastic surgeon and see how this could be resolved. This is a situation that can be tackled preoperatively, so you know what to expect. I would need to evaluate the patient firsthand, but it seems that you may be well served with a mastopexy.

Ira H. Rex lll, MD
Fall River Plastic Surgeon
4.6 out of 5 stars 44 reviews

Breast asymmetry

You had the same issue before surger. If you want the right breast raised, then you need a small lift.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Sorry to hear you are unhappy.

The good news is that most women's breasts are slightly uneven. If you are a bit uneven before surgery, this would need to be evaluated and determined, and therefore addressed during surgery possibly with different size or style implants. That being said, It does appear from your photos that your right breast appears to be smaller and if this is a problem for you four months after surgery, it is unlikely to get better on its own. Your best recommendation (if you feel comfortable doing so) is to discuss your concerns with your plastic surgeon. If you feel that a second opinion is your preference, make sure the plastic surgeon you select is board certified and experienced in breast augmentation as well as revision breast augmentation. Let's hope that you will not need any revision surgery, but the only way to determine what is the optimal treatment plan is to have you evaluated in person. 

Best of luck to you. 

Ram Kalus, MD
Mount Pleasant Plastic Surgeon
4.8 out of 5 stars 22 reviews

The answer is how did your breasts look before surgery

When I look at your breasts prior to your surgery you had the same asymmetry post op that you did pre op.  It's possible your cre ashes are different or that one breast is slightly more droopy.  You may need a small lift on one side, so discuss the with your plastic surgeon.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.