4 months post op, right side is high - Do I need a revision? (Photos)

Thank you for your question.Some initial swelling in the breasts is expected after the surgery and this can often cause patients to think that there’s a difference in shape and size between the breasts. This may also make your breasts appear uneven in the first few days, weeks or even months after your breast implants are placed. It sometimes takes 3-4 months to settle down into final position. However, if there’s too much asymmetry in between the breasts it is not possible to make it even after the surgery either. I always let my patients know during their initial consultation that it is impossible to fix the asymmetry 100% but we can come as close as possible.

Thank you for submitting your questions and photos. I’m sorry you are experiencing some breast asymmetry after your augmentation. Based on your photos, it does appear that the right implant is sitting a little higher compared to the left. Being only 4 months out from surgery, there is still potential for it to continue to settle over the next few months. I recommend daily implant massage and giving it a few more months. Surgeons generally don’t recommend revising breast augs until at least 6-12 months after the initial surgery. I recommend seeking out a board certified plastic surgeon to monitor your progress. Good luck and thanks again for reaching out.

Dear keh1994,

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

more months before considering any revision, if needed. You are still settling. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hello and thank you for your question. It is difficult to provide an answer without additional photographic views and a physical examination. Based on the photos provided, it appears that the discrepancy in the inframammary folds that existed preop has been corrected. Because the folds are now level, the upper pole difference you notice may be from pre existing chest wall or breast volume asymmetries. My suggestion would be to consult with a plastic surgeon certified by the American Board of Plastic Surgery who should be able to determine the cause of your asymmetry. Good luck. I hope this helps.

At four months post op you still may see a little more settling over the next couple of months before a revision would be recommended. Massaging around the implant may help. If your surgeon retired they often have someone take over for them. You may want to schedule a visit to that surgeon for an evaluation.

Based on only two post photos, one before one after you need an in person or virtual consultation, it appears the type and size of implant and volume needs to be adjusted either by exchange of implants or fat grafting to cause an evening affect of the asymmetry. Expect fee to arrange from $5000-$10,000. Again, best of virtual consult