1 year post op - My breasts appear different shaped. Do they look even and if not, how can I fix them? (Photos)

We often say breast are sisters not twins and it’s common to be more critical of these subtle asymmetries after surgery than before.
You have a very nice result.

Dear Celebrated617493,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Some amount of asymmetry is naturally the norm. Having said that, your breasts seem to be quite balanced in shape and size.

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX:
Thank you for sharing your photos and your concerns — it’s completely normal to want reassurance, especially at the one-year mark when your results have fully settled.
Mild asymmetry is very common, even after breast augmentation. In fact, nearly all patients have some degree of natural asymmetry in their chest wall, breast tissue, or nipple position — and while implants can improve balance, they don’t always create perfect symmetry.
Looking at your photos, the result appears to be within a reasonable range of normal variation, though I can see why you’d notice small differences in shape, fullness, or position. Whether a revision is necessary depends entirely on: • How much the asymmetry bothers you • Whether it’s a cosmetic issue only or related to implant position or comfort • Whether anything has changed over time (like implant movement or capsular contracture)
If the difference is subtle and doesn’t affect your confidence or comfort, you may not need a revision at all. But if the asymmetry is noticeable to you in clothing or causes concern, there are options — from minor adjustments like implant pocket revision to changing implant size or position.
At Lone Star Plastic Surgery, I see many patients for second opinions or revision consultations and always focus on clear communication and realistic solutions. If you’re unsure, a thorough in-person evaluation with a board-certified plastic surgeon who is experienced in revision breast surgery is the best next step.
Warmly,Dr. Sean HillBoard-Certified Plastic SurgeonLone Star Plastic Surgery – Frisco, TX

Hello and thank you for posting. You seem to have slight asymmetry, but I don't feel this merits a revision. Revision would entail new scars. Your breasts are fine. The revision will not guarantee 100% symmetry… you will just get some new scars. Not worth it.
Beat wishes,
Dr. Miguel Mota

Thank you for your question. At 1 year post-op, final results can usually be seen. There may be some slight asymmetries, perhaps even before surgery that may be accentuated now. That being said, revision surgery should be reserved if there are some issues with the implants currently or if you are bothered quite a bit about the small differences. The balance will be between if correction makes the condition worse. A frank discussion with your surgeon may help alleviate any concerns. Good luck on your journey!

We all have asymmetry to some degree and yours falls into a normal category. You may have had this asymmetry prior to surgery but just didn't pay as much attention to it. When trying to correct asymmetry there is always a chance of making things worse. Unless your look truly bothers you it may be best to just accept a nice result.

Your photos while underexposed demonstrate an attractive shape and good balance.
Accept a really nice result and move on. Consider that your perspective might be a little bit biased.

I’ve never met a woman who had a breast symmetry.
Breast are always different and for some women the difference is significant.
Typically the left breast higher on the chest wall typically buy about half an inch.
There are other variables to take into consideration, such as the position on the chest wall, breast, divergence, breast shape, etc. etc.
To make a quality assessment of any plastic surgery procedure we always need to see proper before and after pictures.
If you don’t have a proper set up before, and after pictures, then ask your surgeon to forward the pictures they took.
Any difference in your breast is most likely evidence on your before pictures.
The implants chosen are on the large side.
Choosing excessively large implants increases the chance of undesirable, side effects, complications, and the need for revision surgery.
Overall, I think your outcome is appropriate.
complications, and the need for revision surgery.
Overall, I think you’re outcome is consistent with quality work, considering the size of the implants
Best,
Mats Hagstrom MD