One implant larger than other? (photos)

Question

As you can see in my after photo, one of my implants is clearly larger than the other. I did not notice any asymmetry before surgery, but now that I look back at my before photos, you can see that my breast were not the same. Will this get any better? Should my doctor have seen this? I plan on going back, but I went out of state so I'm just asking for an outside opinion for now. I am one month post op, 520CC, saline under muscle

Jed H. Horowitz, MD, FACS · Answer

It is still quite early into your healing and it's not uncommon for #asymmetry as each breast heal quite differently. One breast may swell more, feel more uncomfortable, or have a different initial shape. After complete #healing, they will be more similar and natural. #Healing will continue for 2-3 months following your #breast procedure.

Typically, it's best to wait 6 to 12 months depending on the reason for #revision.  Matters such as sagging or drooping  and size change will not improve with time. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry that your current appearance has caused you concern.  If you had the same size implants placed once you are fully healed in 6 months any difference in size will only be that which was preexisting.  I now waiting is difficult, but allow your results more time to mature and then assess your desire for any surgical revision.  Hope this helps.

Steven J. Rottman, MD, FACS · Answer

Thank you for your question and photos. You are still very early in the post-operative period. It typically takes 3 - 6 months for the swelling to subside and and implants to settle into proper position. Please discuss your concerns with your board certified plastic surgeon. Also, make sure you follow all of your plastic surgeons post-operative instructions regarding level of physical activity and use of a support bra. Hope this helps and good luck with your recovery.

David R. Alfonso, MD, FACS · Answer

You do appear to have asymmetric breasts which can be due to different breast sizes to start with or from overfilling an implant. You look pretty right now so I would let some settling occur and see where you are in a few months

Ravi Somayazula, DO · Answer

It seems as though your right breast preop was larger than the left. This should have been noticed preoperatively so that two different implant sizes could be place( a smaller implant on the right side and the larger implant on the smaller side). In any event, after 6 months, you might want to discuss placing a smaller implant on your right side. You should discuss your concerns with your surgeon.Best wishes,Dr. Ravi Somayazula

Juan Gordillo Hernandez, MD · Answer

hello, you already had an assimetry before surgery, you need a breast revision and try to do with a lower implant inthe right side. Good luck

Steven Wallach, MD · Answer

It looks like one breast was larger than the other preop.  What size implants did you have placed?  You might need a revision if you are unhappy.  You would need to wait several months.  Best of luck.

Karol A. Gutowski, MD, FACS · Answer

Yes, you need to see your surgeon soon. If this size change happened after surgery, you need to figure out why.

Gerald L. Yospur, MD · Answer

Breast asymmetry can be a difficult problem to correct. One of the reasons we do take preoperative photographs is to document your appearance before undergoing the procedure.   It is apparent that you did have a asymmetry before your procedure  and without making any modifications such as different size implants, changing the amount of saline put in the implant or a mastopexy this asymmetry is likely to persist after surgery.   You are still early in your postoperative course and you may see minimal changes in terms of swelling decreasing however you are likely to have persistent  asymmetry.   It is always helpful to point out  asymmetry prior to surgery so that you do not have unrealistic postoperative expectations.

Remus Repta, MD · Answer

Thank you for the question and photos.  I think everyone will agree that your before surgery asymmetry carried through to your breast augmentation results.  If the same volume was placed in both breasts then the asymmetry naturally would be maintained.  I do not believe that your breast asymmetry will improve with time since the volume asymmetry would be maintained. The big question is whether an implant exchange alone would be enough to equal out your asymmetry or whether a lift or areolaplasty would also be needed.  The reason for the lift or areolaplasty would be to address the inherent asymmetry of the breast tissue.Good luck with the remainder of breast shaping journey.All the best,Dr. Remus Repta

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