What Can Be Done to Fix Uneven Breasts After Augmentation?

I agree that you may need a revision surgery to correct the asymmetry, however meanwhile, I would place you in a breast strap over the higher breast.  This may be effective enough to allow the higher breast capsule to strech and allow the implant to settle to a lower position.  If successful, you may not need another surgery.  Good luck!

Although it is common for breasts to be uneven as they heal from an #augmentation, #asymmetry is among the reasons some elect revision surgery. However, depending on the reason or cause for asymmetry will determine the surgical technique applied. Also, there is no guarentee that one revision surgery will correct the asymmetry. For instance, any asymmetries regarding the folds under your breasts will not be totally corrected. Additional elective cosmetic #surgery is a personal choice. Your procedures should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision. Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

It’s not unusual for women to have breast asymmetry
following breast augmentation surgery. In many cases this asymmetry was present prior to surgery and was
accentuated by the breast augmentation.Review
of your pre and post-operative pictures suggest pre-operative asymmetry.Your left breast and nipple areola sit lower
than your opposite breast.Following
breast augmentation this problem seems to be even more noticeable.Initially,
your post-operative pictures suggested relatively minor asymmetry, but with the
passage of time your left implant appears to have drifted in a downward
direction.Under these circumstances it
may be necessary to perform a capsulorrhaphy to reinforce the inframammary fold
and re-suspend the implant into normal position.This procedure is associated with excellent
clinical results and high levels of patient satisfaction.If
you’re concerned about post-operative breast asymmetry, it’s important to
discuss this issue with your plastic surgeon.Your surgeon should be able to formulate a treatment plan that addresses
your concerns.It’s important to delay
revisional surgery for at least six months.This allows the situation to stabilize and optimizes the aesthetic
result.

The easiest solution is to lower the right side to match the right.  Also, it seems that the right side may be alittle smaller.  If so I would place in a slightly larger implant.  Raising the right is not a good option.

I do advise patients to wait 6 months to a year to see the final result.  Your breasts may not be done dropping. 

Hi there-

I'm sorry you are not happy...

Improving your asymmetry is going to require another operation....

It is important to understand that even with a revision, you are likely going to have some visible asymmetry, so you need to think about how badly the asymmetry you have bothers you, and whether it is enough to consider having another operation to improve...

With regard to the timing, while I understand your desire to achieve maximum symmetry right away, I would agree with your surgeon that your chances of achieving the best outcome possible increase the longer you wait (up to about 6 months).

You are correct in commenting that you had asymmetry before your surgery.  That being said, although there are a number of things that we as surgeons can do to try and lessen this assymetry, there is never any guarantee that we will be able to make your breasts 100% symmetric. 

I understand that you are probably frustrated at this point but it does make sense to wait a few months and see what happens.  For many women, one side will drop a little faster at first and then, as time goes by, the other side will catch up. 

The best thing at this point would be to be patient, follow-up with your treating Plastic Surgeon, and watch for any improvement.  If there is no improvement after about 6 months, then you may need to undergo revisionary surgery to adjust the right side.  However, right now it is really too early to tell.

I hope that helps!

Yes, you were asymmetric before surgery and now you are asymmetric after surgery.  During surgery, the best attempt is made do improve symmetry.  Without examining you or actually being at the surgery, it is impossible to comment specifically on what should or could have been done - if anything.  In most cases, it is best to wait at least 6 months before considering any type of revision surgery.  As you said, it all looked great until a few weeks ago, so there is still a chance that there will be more changes - for better or for worse.

 

Good Luck.

No woman enters the operation room perfectly even, and no one exits perfectly even.

Every happy patient has committed to living with some degree of imperfection.

If you really can't live with your current result you can look into a revision, but don't be surprised to find you're still not happy even after another operation or two.

If I had to revise your result i would change to silicone gel implants. They are lighter than salines and  have less tendency to drop. The fold on the left side looks as though it has descended; I would raise it slightly.

Keep in mind that plastic surgery is surgery - not magic.

Thank you for posting the preoperative photos. I do not know what you looked like right after surgery but the preoperative photos show that you would end up with this result if you just placed implants without doing surgery on the breast tissue itself. Before surgery the left nipple and crease were lower down on the body than the right and the left breast was slightly larger than the right. Therefore you were not a candidate for armpit or belly button incisions to place the implants as they would not correct the inherint asymmetry. I think your rib cage is also slightly rotated (forward on the left and backward on the right). Sometimes this is accompanied by curvature of the spine. The question was how do you make things more symmetric from the start. That would require a crescent mastopexy and inframammary fold adjustment on the left wioth placement of slightly different sized implants at the first surgery. Those cannot be done through the armpit or the belly button.

The question now is what do you do now. The answer is do the nipple and fold adjustments that were not done before. In fact the fold adjustment may be easier to do now if the capsule around the left implant is sufficiently thick to hold sutures. The longer you wait for this second surgery the better because you allow all the swelling to resolve and the capsule to mature. Certainly 3 to 6 months should suffice. If you are otherwise happy with your first surgeon it would be best to go back to him/her for cost and doctor familiarity reasons.