What is wrong with my breasts? (Photo)

Question

I had breast augmentation 12 months ago. I have 450cc silicone. Something about my results feel "off" to me. Is is symmastia? A bottoming out? I know they are slightly uneven. Please help. I see my surgeon soon and I want to know which concerns to point out to him specifically.

Gianfranco Frojo, MD · Answer

It appears that the implant are too large/wide. There is some slight lower pole stretch, more notable on the right.

Daniel Barrett, MD · Answer

Dear SandyCheeks1111,
I understand your concern. 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

Andrew Wolfe, MD · Answer

Thank you for you question.  It is a little difficult to know exactly what's going on without seeing a preop photo for reference or knowing what exact implant you have.  You do have some fundamental differences in how your breasts and implants are sitting, with the right breast being longer and more narrow than the left.  It looks like the left implant is encroaching on the midline and your inner, lower breast fold is overdissected on the left, as well.   I wouldn't be surprised if you have real symmastia when you push the implants towards the center of your chest.  All of these issues should be brought up with your surgeon at your 1 year postop visit.  They are correctable but would require a revisionary surgery.  Best of luck.

Gary M. Horndeski, MD · Answer

Your breasts are descending inferiorly and laterally from the weight of the implants. You also have asymmetry, one breast is encroaching on the midline more than the other. At this time, I recommend removing the implants, doing a breast lift and replacing the implants with smaller implants. You will need the pocket narrowed laterally and inferiorly.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

John Michael Thomassen, MD · Answer

You have glandular ptosis on one side, a.k.a pseudoptosis.  This can be corrected with a small excision of excess skin along the inframammary fold on the affected side.  It can probably be done under local in the office.

Farbod Esmailian, MD · Answer

Most patients have some asymmetry before surgery, difficult to tell since we dont have any before photos. But going off of what you have shown us in the after photos: I would say your right breast crease is sitting lower than the left side as well as it appears that the pocket may be open too far medially. You didn't give us your implant profile but it does appear that your implants are a bit too wide for your base diameter.

Hope that helps.

Hope that helps.

Ronald J. Edelson, MD · Answer

The problem is that your implants are at different heights. The simplest thing to do is to lower the implant that is too high.,it’s easier than trying to raise the other implant

Dana Goldberg, MD · Answer

Your right implant sits lower than your left, and they do look quite close together. But without an in person exam to see how mobile the implants are in the pocket it’s hard to say if it’s actually symmastia. Most people have asymmetry prior to surgery, so it’s hard to know how much improvement could be expected from a revision.

Connie Hiers, MD, FACS · Answer

These implants are too large and heavy for your tissue, and you are bottoming out. I would suggest going smaller, tightening the inferior pockets, and perhaps use mesh.

What is wrong with my breasts? (Photo)

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