Still big difference in size and shape after revision for asymmetry, will a revision fix this & likely be approved? (Photos)

Question

Had reduction to fix asymmetry, but still a big difference in size and shape. I also seem to have a lot of side boob. Will a revision easily fix this? Any advice and honest opinions really appreciated. I will attach my before and after photos. Clearly big improvement but still very unhappy. Unfortunately I can’t afford implants as an option.

Alan Gonzalez, MD, FACS · Answer

Hello @Brave249959, thank you for your question. These issues can often be addressed with a revision surgery, but the specifics will depend on a thorough evaluation by your plastic surgeon. A consultation is vital to establishing a surgical plan that meets your needs, meets your expectations, and takes into account what is possible. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Daniel Barrett, MD · Answer

Dear Brave249959,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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

Ajaya Kashyap, MD · Answer

Thank you for your query. There is some residual asymmetry and a little fat on the side, both of which can be improved with a minor revision/liposuction/ fat injections. You can discuss the insurance approval with your insurance,  but your surgeon can  certainly help you achieve better symmetry. All the best!

Felix Omar Márquez, MD · Answer

Hi, thanks for your question and photos. Considering your before and after pics, there's a great change. You forgot to say how much time has passed since the procedure. Remember that the human body (including breasts) is not symmetrical at all. If you have completed your healing time, and you still are uncomfortable, you can have a second revision for complete success. Consult a board-certified plastic surgeon in your area for a physical exam. Good luck!

Sergio Sanchez-Bailon, MD · Answer

Any secondary procedure has more risks and associated complications than doing a primary procedure. By looking at your photos and in my experience yes there’s still options for achieving a more symmetrical result. But yes you would require a secondary breast reduction and lift, you could go either with or without implants. Schedule your free virtual consultation and have your case assessed.

Scott C. Lindsay, DO · Answer

Thanks for your question! I suppose more tissue could be removed from the larger breast. That being said, remember that breasts are sisters and not twins. I understand why the difference in size is frustrating, but you should also be enjoying your new, perky breasts. Good luck!

Connie Hiers, MD, FACS · Answer

The larger breast can still be revised to be closer to the other's size.  Your surgeon was trying to make sure enough tissue was kept to keep your nipples alive. Please discuss your concerns with your surgeon. Liposuction might be helpful to remove excess lateral fullness as well.  It is doubtful that insurance will cover this revision, because the revision would be cosmetic.

Camille Cash, MD · Answer

As you mentioned there is a significant improvement with asymmetry, but some does remain.  For improvement you will need to consider further surgery to reduce the larger breast to better match the smaller one.  I encourage you to discuss your concerns with your surgeon.

Still big difference in size and shape after revision for asymmetry, will a revision fix this & likely be approved? (Photos)

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