Asymmetry 2 years post op (330cc implants) - Normal or revision needed? (photo)

Your photo reveals fairly prominent asymmetry. This is likely due to your pregnancy. Depending on your goals you may want to consider additional surgery. It is premature to schedule a surgery at this time. As you have just completed breast feeding, your breasts will continue to change in appearance over time. I would suggest a return visit to your surgeon or another board-certified plastic surgeon when your breasts have stabilized, and the size and shape are no longer changing.

It is important to remember that pregnancy changes more than just your weight. There will be changes in muscle and skin tone which in some cases will not return to baseline.

The safest recommendation is to maintain a healthy lifestyle (diet and exercise) through pregnancy and afterwards. This will ensure a greater likelihood of a return to form. This is by no means a guarantee but it will help.

Patients should be prepared for the possibility (eventuality) of further procedures in the future to regain your pre-pregnancy form.

With regards to your specific question, new onset asymmetry following pregnancy and breast feeding is common. Some may resolve others may persist.

It is best to allow for a 6 month period post partum or 3 a month period post cessation of breast feeding in order to return to a stable baseline.

At that point, you can consider consultation to discuss your specific concerns.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Dear Tknn24,

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

Breasts are typically never perfectly symmetrical. There may be some asymmetry in terms of shape and/or size. If you are concerned about the asymmetry, a lift may be performed on the pointier breast to make it similar in perkiness as the other one, and an areola reduction may be performed at the same time.

You need to wait a minimum of 6 months post breast feeding as your breasts size and shape may change. This time will allow you to get a better idea of your final size and shape once the milk fully disappears. This is a natural process called mammary involution. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thanks for your question! Having children can absolutely change the appearance of your breasts. First, I would give your body time go back to normal post-breastfeeding. Then, I would seek out a consultation. Perhaps you will need some kind of lift on that droopier side. Good luck!

Your nipple-areola complexes are asymmetrical, one is larger than the other. You would benefit from an areola reduction as well as areola repositioning to make them more symmetrical. It appears the one breast is more lateral than the other and may benefit from plication laterally.

Best Wishes,

Gary Horndeski, M.D.

It's too early to determine what if anything will be needed. You want to give your breasts 3 to 6 months after breastfeeding to settle and return to a baseline state. At that time if you have concerns you can visit your surgeon to discuss options.

One breast is larger and sagging due to pregnancy and breast feeding. If this bothers you, then have it addressed. If you are content, especially in a bra, then leave it alone.

Whether your current outcome is acceptable or you want revision surgery is eventually up to you.
You do have some underlying a symmetry, and some of this was most likely present before surgery.
You have significant breast divergence and you now have a bit of breast ptosis on the left side.
I suggest you follow up with your provider or schedule a few in person consultations with plastic surgeons in your community.
I generally do not recommend people have virtual consultations.
Best,
Mats Hagstrom MD