Help, 390cc saline 3 years ago & breasts are not symmetrical (Photos)

Question

Hello. I had a breast augmentation procedure 3 years ago. I had a bilateral saline breast augmentation. I have 390 cc saline implants in both breast. I had very minor asymmetry before surgery. Now my right breast is cylinder shaped pointing down. I finally made it to an appointment with my doctor today, as I’ve had to put it off due to loss in my family etc.He advised first daily massages for 4 weeks before anything else. I didn’t want to wait too much longer, this makes me so insecure.

Jonathan Heistein, MD · Answer

Hi.  Although it usually requires an in-person exam, I pretty sure your asymmetry is due to capsular contracture.  After 3 years, it is unlikely that massage will help this.  If it really bothers you, you will need to discuss surgery with your doctor to remove the capsule.  Unfortunately, this doesn't always work to fix asymmetry, but hopefully it will be much better for you.  Best of luck!

Jeffrey Lisiecki, MD · Answer

I would be curious as to a couple things in your case.  You mentioned you had asymmetry preop--I would be curious what your breasts looked like before, as this probably has something to do with your existing asymmetry.  Secondly, is this what they always looked like after surgery, or did your breasts look more symmetric before becoming like this?  Thirdly, is the right breast firmer than the left?  My inclination based on your photos and the information provided is that this is capsular contracture in conjunction with an existing asymmetry--if so, I would try medical management initially, but ultimately this would likely need surgical revision.

John Michael Thomassen, MD · Answer

You may benefit from a lift on the more ptotic side to correct this asymmetry.  Sometimes a simple Benelli lift under local anesthesia can be enough if need only 2-3 cm lift.

Michelle Zweifler, MD · Answer

Capsular contracture may distort breast implants with asymmetry. Massaging may help to prevent and minimize capsular contracture.  There are vitamins and prescription medications that help with capsular contracture in some patient.  Also there are external devices with LED and ultrasound that some patients get relief.  Often patients benefit from breast implant revisional surgery.

Daniel Barrett, MD · Answer

Dear missy1793,
I understand your concern. Based on your photos and description, there is a chance that you have capsular contracture. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Help, 390cc saline 3 years ago & breasts are not symmetrical (Photos)

Answers (8)

Answer: Capsular contracture and breast implant asymmetry

Answer: Capsular contracture and breast implant asymmetry

Answer: Breast asymmetry

Answer: Breast asymmetry

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Everything you need to know about Breast Implant Revision

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Help, 390cc saline 3 years ago & breasts are not symmetrical (Photos)

Answers (8)

Answer: Capsular contracture and breast implant asymmetry

Answer: Capsular contracture and breast implant asymmetry

Answer: Breast asymmetry

Answer: Breast asymmetry

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.