Are my breast implants different sizes? (photos)

Question

I am 6 months after surgery. I was A cup and had 400 cc round implants. After 2 weeks I notice that my left breast is more puffed, bigger and little lower-maybe more settled. After 6 months, for sure my right breast much more settled, but I m still uneasy with that left breast. My surgeon said that if i want, after year I can do revision and get 410cc in that "smaller"!... Here are my photos and I wanna know if my surgeon failed and had to choose different implant sizes.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. You look great! Congratulations on the new change. I appreciate the slight fullness of the left areola but in your before pictures your left breast is naturally fuller to start with. We always have patients think that after a breast augmentation one side is now larger, but actually we all have asymmetries of the breast tissue to start and this can be emphasized more when they are enlarged. The implant position looks good. Speak to your plastic surgeon about your concerns see what they may suggest.

Celal Alioglu, MD · Answer

Hello your breasts are very in good looking you dont need to change and a second surgery because before the surgery you had small assymmetry.

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question.  Looking at the photos you have provided I do believe your breasts are different.  Your creases are slightly off, the one breast looks slightly bigger then the other side pre operatively.  Therefore if they used the same size implant on both sides you would still be off.  If it's bothersome you could definitely try to correct sizing with adding a slightly larger implant to one side.  I would suggest speaking with your surgeon in detail and following their recommendations.  Best of luck to you.

Shitel Patel, MD · Answer

You can get the operative report to make sure both are 400 cc implants(which I would think they would be). You can also check the implant card. 
I think what you are noticing is the details of nipple position and the bottom border of the breast (IMF fold). If you look at the preop photos you will notice your left nipple was slightly higher and the breast tissue you have on each breast is different (95% of women). Implants of the same size will only magnify the difference between the two breasts.... 
Wait it our for anther 6 months and then compare and contrast between the two sides of what you like in each and what you don't like. Then make a decision! Best of Luck!

Ronald J. Edelson, MD · Answer

Your question suggests that different size implants may have been used. Easy enough to ask your surgeon. But I agree the difference should not be that much.

George Bitar, MD · Answer

Quite often, breasts are similar but not perfectly symmetrical even after augmentation.  Your breasts are not exactly the same preoperatively.  Based on your photographs, the left nipple is higher, and the left breast fold is lower than the right.  Those differences are improved but still present postoperatively.  You are doing all of the right things by discussing your concerns with your surgeon.

Harry T. Haramis, MD, FACS · Answer

All breasts are different right to left in size, shape, folds, nipple position, etc. before and after any surgery. This also includes differences in chest wall, muscle, ribs , etc.

They will never be 100% identical, especially without a bra or clothing. Even using different sized implants has limitations.

They will also heal differently.

Your before photo shows shape and nipple position differences, while still present post op, appear more symmetrical.

Revisions can be helpful but also have risks which should be discussed further with your plastic surgeon.

Daniel Barrett, MD · Answer

Dear Inventive371999,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Cameron Erickson, MD · Answer

When I look at your preop photo there are a few things I see. Your IMFs (inframammary fold) or folds underneath the breast are not at the same level. The right breast fold is higher than your left breast fold. The areola (pigmented skin around your nipple) are also in different positions and not completely symmetric. Lastly, your left breast is larger than your right breast before the surgery. Your case is a difficult one given what I just mentioned above. From what you mentioned in your question it appears that you received 400cc implants in both breasts, and you are concerned about that left breast being too full compared to the right will be my assumption? I don’t believe your surgeon “failed” or chose different implant sizes in the OR (however I was not there in your surgery) It appears that you had these subtle asymmetries before your surgery and when patients get breast augmentation those subtle asymmetries can become more noticeable. Your left breast was already larger than the right before surgery and after adding 400cc of volume to both breasts your left breast will still be larger in relation to the right. I think you have a good result in my humble opinion but if this bothers you I totally understand that because you are correct the left breast is larger. I would wait the full year to allow everything to fully settle and mature and schedule an appointment with your plastic surgeon and bring up your concerns. The likely course of action is to place a larger implant into the right breast but 410cc implant is not large enough (or a big enough difference) in my opinion. Closer to a 430-450cc to see a noticeable change. Hopefully, I have understood your question and concerns and I wish you the best of luck! Let me know if you have any follow up questions.

Connie Hiers, MD, FACS · Answer

Your preop photo shows that one breast is somewhat larger, so it will still be larger with the same size implants in both.

Are my breast implants different sizes? (photos)

Answers (14)

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