1 month post op of Breast Implants, my implants are uneven. Is this normal? (photo)

Question

I don't understand why this is happening my right breast has dropped and it did the first week but the left is still up high and looks different... I've been reading that massaging doesn't help and if at one month they will stay that way. I hate the way they look but I love having boobs. What do I do?

Larry S. Nichter, MD, MS, FACS · Answer

It
is quite common for the two breasts to heal differently. One may swell more,
one may feel more uncomfortable, or the shapes may differ initially. After
complete healing, they should look more similar and natural. Patience is
required, but if you are concerned, ask questions to your doctor or the nursing
staff.

#breastrevision
#breastimplants

Ryan Neinstein, MD, FRCSC · Answer

I think it would be helpful to see your pre operative photographs, it looks like the breast footprints are different and that would explain why they appear different now

Joe Gryskiewicz, MD, FACS · Answer

Hi,we have found that one implant will drop before the other, and some take months to settle in.  A massage program often does help.  I gather you prefer the right implant, correct?  So keep your surgeon in the loop.  Don't be afraid to massage the left to help it drop in.  You are still early. Review a full set of photos with your surgeon.  All the best, "Dr. Joe"

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your picture. One breast fold is lower than the other fold. This is creating different shape breasts. It would be interesting to see your original before picture. I bet that you had some asymmetry at that point in your nipples. If this is a case the best solution would be to downsize your implant reestablish the original crease so that both creases or even and perform a breast lift on the right breast. This will even out the nipples and give you better breast shape

Bradley A. Hubbard, MD · Answer

From the picture it does appear that the right implant is lower or "bottoming out". Messaging will not help or hurt. The left implant will likely drop further in the next 2-3 months and perhaps you will be symmetric or close to symmetric at that point.  Regardless, it would be a bad idea to do anything about it now. You should wait 3-6 months. At that point you and your PS can decide if the difference is too significant. If you make the decision to do a revision, your PS will be revising a final result as opposed to one that is still changing.

Matthew Schulman, MD · Answer

You certainly have some asymmetry but without a pre-op photo we cannot say for sure why.  I think you are right in that sometimes asymmetry persists and a revision may be necessary. You should discuss this with your surgeon and see if early intervention is indicated for you. If you are uncomfortable with your surgeon, you should seek another board certified plastic surgeon for a second opinion.

Jeffrey E. Schreiber, MD, FACS · Answer

It's very common after breast implants to get swelling and this could be causing your asymmetry.  It may take several months for it to resolve.

William T. Stoeckel, MD · Answer

It has only been 1 month after surgery. Implants continue to have changes for 3-6 months after surgery. It is very possible that things will settle out and look more symmetric with just more time. It is also possible that you might still have some asymmetry and need a revision. But it is too early to tell. Be patient for now and follow up with your surgeon in 2 more months.

Glenn M. Davis, MD, FACS · Answer

Asymmetry
in the early stages of recovery (and even one month after surgery still counts
as early) is very common and normal. There are a number of reasons why breast
implants may settle at a different pace, from tissue density to how developed
the muscles are on one side compared to the other. It takes a few months for
the tissues to release enough that your implants can settle appropriately. If
you still see significant asymmetry by the six month mark, definitely check
back with your surgeon.

Robert H. Hunsaker, MD · Answer

I would recommend continuing the massage and waiting 4-6 months for an evaluation with your plastic surgeon. If the unevenness persists, a revision could be planned then. You don't want to try to change things while there is still change already going on.

1 month post op of Breast Implants, my implants are uneven. Is this normal? (photo)

Answers (16)

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