Help! Uneven Breasts 3 Months Post Surgery. Should I Wait? (photo)

Question

I am 3mo post surgery - 230cc silicone breast implants. I had little asymmetry prior to surgery, and now have visible asymmetry with shape, size and nipple position. My right breast has a fuller tear-dropped shape with some rippling near the scar, and my left breast is visibly smaller than my right breast (specifically 1" smaller in width over the nipple and 1" shorter from base to belly button). Is this normal? Should I expect change in the next 3mo? If not, how can this be corrected?

Steve Laverson, MD, FACS · Answer

The best course depends on the cause of asymmetry.. Is there a space occupying lesion or fluid filling up the right side, or has the left partially deflated or displaced, or is there contracture causing shape differential?   Difficult to be sure based on photos.  If they were inserted transaxillary (under armpit), may be asymmetric pockets or improper orientation of left implant.  Need more information and exam to properly diagnose, which will then determine treatment.

Matthew Schulman, MD · Answer

Pre-operative breast asymmetry can be improved with the proper surgical techniques,but it can never be eliminated completely. It doesn't surprise me that there is still soem asymmetry at 3 months post op. Your breasts will continue to change over the next 6-9 months so you shold wait before making any decisions about revision surgery for several more months.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.

	The breast asymmetry that you are referring to is clearly visible in the pictures that you have posted. I would agree with you that waiting an additional 3 to 6 months before evaluating the final results of surgery will be in your best interest. If revisionary surgery becomes necessary, much of what is recommended/performed  will depend on what the breasts look like at that point and what your goals are.

	For example, it appears that your right breast implant has &ldquo;settled&rdquo; more so than your left side. If this remains the case several months in the future,  options would include lowering the right breast implant pocket and/or raising the right breast implant pocket (capsulorrhaphy).   Breast size and asymmetry concerns can be addressed with the use of different size/profile of breast implants as well.

	Again, it would be best to wait for  a few additional months before determining the need/specifics regarding revisionary breast surgery.

	I hope this helps.

James Knoetgen, III, MD · Answer

Everybody is asymmetric before surgery, and everybody will be asymmetric after surgery. Even though you're three months out, your implants will continue to settle and change over the next few months. So I advise you to wait at least 3 more months before making any decisions.

	Of course, it's best to follow up with your board certified plastic surgeon and discuss your issues with him/her. I hope this helps and wish you all the best.

Darryl J. Blinski, MD · Answer

Yes you were asymmetric before and by using the same sized implants only magnified the differences. You need either increased size on the left or lipo with fat grafts to the left.

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Help! Uneven Breasts 3 Months Post Surgery. Should I Wait? (photo)

Answers (8)

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Answer: Help! Uneven Breasts 3 Months Post Surgery. Should I Wait?

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