Roughly 3 months post-op - Will my breasts start to even out? (photos)

Question

14 weeks post opp (450cc ultra high profile) Seen my surgeon other day he said they are fine as my left breast was slightly lower to start with, feel like my left one has dropped to much compared to the right it’s a noticeable difference Will this get better in time my surgeon said my nipples are pointing forward so they are fine but I’m not happy at all.. advice please

Riaz Agha, MBBS, DPhil(Oxon), FRCS(Plast) · Answer

No they are unlikely to get better.If you had a difference pre-op, you would have needed a lift on the left side (or both sides) to get to symmetry or have agreed to accept the difference you see - of course the weight and size of the implant can make such differences more noticeable and stretch the breast further down (weight + gravity).

Amir Sadr, MD, MSc (Plast), FEBOPRAS · Answer

Dear Intuitive211441
Thanks for sharing your story and photographs. It is difficult to make a judgement without seeing your pre surgery photos or without a clinical examination. Looking at the photos, it seems that the breast fold on the Left side is sitting lower than the Right side. This might have been the case even before surgery so I assume your surgeon must have pointed that out to you. There is a small possibility that during the course of surgery the left breast fold was damaged and that resulted in your implant to sit lower. Regardless of the reason, it is too early to seek any intervention. You should wait at last 5-6 months from surgery. After 6 months the implants should have descended behind nipples and the shape will look more natural. If at that stage this asymmetry of the breast folds still persists then your surgeon can offer you a form of symmetrization surgery to address the issue. I hope you find this explanation useful.

Brian K. Reedy, MD · Answer

Hi & thanks for your question
Implants can take up to 6 months to drop and settle. Give it the full 6 months to heal. Contact your surgeon then if you are still not happy with the results. best of luck!

Wayne I. Yamahata, MD · Answer

Without pre operative photos it's hard to predict how much better symmetry you will attain with time. If your left breast was lower prior to surgery than it likely will remain lower after surgery. The degree of asymmetry shown in your photos suggest that you may benefit by a revision when the breasts are fully healed.

Georgios Orfaniotis MD, FRCS(Plast) · Answer

Hi there. It's difficult to judge a result without the pre-op photos. It appears however that your Left implant has bottomed out. The Left fold is lower and the upper pole is less full. A pre-operative asymmetry may have contributed to this. It also appears that your nipples are sitting almost level, which makes me think that your Surgeon may have dropped the Left fold to balance the original asymmetry. In my opinion your Left breast (and possibly the Right too although to a smaller degree) would have benefited from a lift in the first instance. This would have allowed to obtain symmetry in both shape and nipple position without lowering the Left fold. It would have given you also a longer lasting result. Of course the big tradeoff is the additional scars. If you don't like the result now you will probably need revision surgery in the near future to correct the bottoming out. You will need to decide whether you want a proper correction of your original asymmetry, which will involve additional lift scars. The alternative will be to just have the Left fold reinforced and the implant pushed higher and settle with the Left nipple pointing downwards. I hope this helps.

Donald R. Revis Jr, MD · Answer

Good afternoon,
You have some bottoming out on the left side. I correct this with the Original Internal bra, my strong permanent internal suturing technique, which corrects your bottoming out and provides excellent long term support moving forward. I first developed this technique over 20 years ago, and today it represents the most common revision I perform, at least 5-6 times a week- it works and it lasts!

Scott Tucker, MD · Answer

if your right side is firm feeling he may have a capsular contracture that is causing this implant to ride higher. if this is the case then you may need to have a capsulectomy. If her left side started out droopier than as this been suggested you may need to have a mastopexy to get your nipple position even. in any case I suspect that you are going to have to have further surgery to correct this.

Daniel Barrett, MD · Answer

Dear Intuitive211441,
I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process.You will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

It would be helpful to see your preoperative photos.  From the information and photos provided it is unlikely that you will see complete resolution of the asymmetry in the next few months without further intervention.

Connie Hiers, MD, FACS · Answer

You did not show your before photos, but one implant does appear to be hanging lower with a lower fold than the other.  If this does not change, the lower breast could be raised.

Roughly 3 months post-op - Will my breasts start to even out? (photos)

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