One Breast Way Fuller than the Other?

Had BA on Oct16,12.Notice one breast is way fuller and higher than the other.The left breast has a loose and is not quiet as fuller than the right.Had saline smooth mod plus profile under the muscle.My right breast has a different shape than left.

Doctor Answers 8

Breast and symmetric healing after augmentation

Thank you for your question and for sharing your photos. During the post-operative period the breast are swollen, and the breast implants appear in a much higher position. Over time they descend and fills out the lower half of the breast. In addition, it is not uncommon for one breast to be more swollen than the other and may even out with time (unless they were asymmetric in size to begin with). It may take several months for this to happen and can be encouraged with breast massage and compression. It may appear that the breast enlarges as the lower aspect of the breast fills out (at the expense of the upper portion of the breast).

Houston Plastic Surgeon
4.8 out of 5 stars 37 reviews

Recent surgery and uneven

You are only two weeks or less after surgery. It is not uncommon for the healing to resolve at different rates on the two sides if everything else is OK. See your surgeon for your regular follow up appointments.

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 14 reviews

Several possibilities are available this early on a healing process


Thank you for the question. This early on in the healing process there are several possibilities that may result in asymmetry.  Differences in the strength of your muscles before surgery may impact how your breast look early on in the early healing phase.   You may also have different amount of swelling, And depending on your preoperative asymmetry there might be difference amounts of soft tissue laxity.  There may also be either a seroma or hematoma.   All of these including asymmetric pockets creation are all possibilities.  I encourage you to be evaluated by a plastic surgeon and take some comfort and that you are early on during your recovery process.


All the best

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 162 reviews

One Breast Way Fuller than the Other?

Without a current  photo (and preferable a before surgery photo)  it is most difficult to guess what the issue may be. It is very common to see asymmetry early on. With implants behind the muscle, the shape is affected by the pressure of the pectoral muscles on the implant, and the two muscles are different. 

It typically takes about 3 months for the implants to settle and the muscle relaxes to accommodate the implants. 


Follow up with your surgeon, and review all issues in person. Thanks for your question.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Asymmetry 1 week postop after Breast Augmentation

Without a proper exam it's difficult to tell you what may be happening with your breasts. However, 1 week out from surgery you will have some swelling and muscle spasms that can contribute to asymmetries in the breasts. Even if one implant is a little higher than the other, in a couple of weeks or months, it can settle and become more symmetric with the other side. The best recommendation is to follow up with your plastic surgeon to ask if your postoperative course is right on track. Some plastic surgeons will suggest implant displacement massage to help a high implant settle more quickly. Hope this helps!

Thank you for your question. Best of Luck!

Gregory Park, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 164 reviews

Uneven size right after breast augmentation

Congratulation on your breast surgery. Since you are only 9 days after surgery, it's common to experience some unevenness between the two breasts as they recover. It's important to make sure the swelling is not due to hematoma, rather just swelling of the muscle and/or soft tissue. It's also important to check and make sure the implant is at right position. Your plastic surgeon should be able to sort this out for you and give a peace of mind during your recovery.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery

Stewart Wang, MD, FACS
Los Angeles Plastic Surgeon
4.6 out of 5 stars 28 reviews

One breast way fuller after augmentation

Asymmetry in the natural breast envelope can cause a difference in shape and implant position early on which might settle in as the skin relaxes. It is possible that the pocket is not quite right as well. A look at your before picture can help sort out what the cause is.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Early asymmetry is very normal

You have a common complaint - implants are uneven immediately after surgery. This usually settles out and evens up after a few weeks to months. Talk to your surgeon.

Armin Moshyedi, MD
Bethesda Plastic Surgeon
4.6 out of 5 stars 21 reviews

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.