Uneven boobs after 7 weeks ba

I ask my patients to allow four weeks after surgery to decide on how they like the size etc. The placement of the implant is critical during surgery to preserve the breast ligament especially the crease. If one were to have a crease lowered too much it would have to be surgically repaired.  

It appears that your right implant is lower then your left. That shoulder is lower as well. However, support of the left with tape, special bra, string shoelace technique and or straps may allow the body to hold the implant in proper position. It would need support for a minimum of 30 constant days. Best to see your plastic surgeon for their advise. Good luck...

Thank you for your question and for sharing your photograph.  It appears that your left breast has healed very well with an attractive shape and size.  Your right breast has unfortunately fallen too low on your chest and has bottomed out.  Correction will require a revision surgery to tighten the implant pocket along its lower border to help reposition the implant higher on your chest.  Voice your concerns to your surgeon, they should offer you the appropriate treatment recommendations and if not, seek a second opinion from a board certified plastic surgeon.  Best wishes.

Thank you for your question and photo.  My advice is to wait 4-6 months before considering a "final" result.  That being said, based on your photograph, it seems that your right implant has fallen below the natural breast crease.  Best to consult with your ps to determine if a revision would be necessary.  Good Luck.

Dear Ashley,  Thanks for submitting your picture and sorry for your problem.  From observing the picture, your right breasts implants is displaced way too low. This is not normal and I understand your nervousness.   If you developed superior capsule contracture that pushed the implant downward, the only solution is superior capsulotomy (scar release) and inferior capsulorrhaphy (internal bra).  If there is no capsule contracture, you can wear a bra with a wire that will push the implant upward and hopefully scar will form and hold the implant in the right position. Wear it for 2-3 month, however if the desired result does not occur, you will need capsulorrhaphy.  Discuss it again with your surgeon, but if you do not get a satisfactory response, consult with other experienced board certified plastic surgeons who do lots of redo breasts augmentation surgery in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage,  perky, symmetrical and look natural.           Best of luck,                                Dr Widder                       

Sorry to learn of your problem. From your story and photos it appears you need revision surgery. I would discuss this with your plastic surgeon and if you remain dissatisfied, consider a second opinion with an experienced board certified plastic surgeon. Best of luck.

At 7 weeks you still have some healing time. To me your higher breast looks pretty normal and nice shape, I am concerned that your lower breast is a bit too low and "bottoming out". If the asymmetry persists you may need a revision. Good  luck.

Thank you for your question.  It is important to know that most women have breast asymmetries prior to breast augmentation.    This may include nipple position, the inframammary fold (IMF), volume, and more.  It appears that your right breast position is lower on the chest wall and the inframammary fold is lower.  With augmentation, the weight of the implant and the force of gravity will cause some lowering of the fold over time.  With submuscular implants, it may take some time for the implants to settle.  Without additional information, it is difficult to determine if your result is"normal."  A period of observation would be a reasonable option.  If there is still asymmetry after 3- 4 months  of observation, you may require revisional surgery to correct the problem.  However, altering the inframammary fold is a challenging problem to address once it has been violated.  I suggest close follow-up and an open discussion with your plastic surgeon certified by the American Board of Plastic Surgery.Good Day,Nicholas Jones, MD

There is no substitute for a good in-person exam, as photos can sometimes be deceiving.  That said, I feel it si pretty obvious you have a significant asymmetry.  When we do breast augmentation we try to center the implant under the nipple, which creates the most aesthetically pleasing and natural result.  Your photos seems to demonstrate that your left implant is in the ideal position, even though the insertion process was more challenging.  Your right implant is too low.  You can see much more of the implant below the nipple.  It is impossible to tell why this happened.  It may be possible to correct this with conservative measures such as full time use of an underwire bra and upward massage.  However, you need to know that surgical correction may be necessary, which would entail closing down the lower part of the pocket and likely re-inforcing the repair with an acellular dermal matrix (ADM) graft such as Alloderm or Strattice.  Work with your Plastic Surgeon to come up with a solution that will give you the results you want.Best of luck.

I am sorry to hear about/see the problems you are having after breast augmentation surgery. I think your concerns are appropriate; the lower breast implant does seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”).  Also, consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low. I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation.
In my practice, this type of repair involves a two layer, permanent suture repair (reconstructing the inframammary fold areas). Sometimes, depending on the clinical situation and history, the use of additional support materials such as acellular dermal matrix or biosynthetic mesh is also helpful.
Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with this type of revisionary breast surgery. Key will be: your surgeon's experience level, careful execution of the procedure, careful attention to postoperative care/activity restrictions.
I hope this, and the attached link (dedicated to corrective surgery for bottoming out concerns), helps.