Is it reasonable to think that an in-office procedure can correct significant asymmetry after my BA with BL two months ago?

Surgery was just 2 months ago? While remarkable asymmetry probably will not correct with time, you may want to wait a little longer for revision once the scars soften more. Skin only surgery would be fine under local anesthesia. If you are anxious, then you might want to discuss anesthesia with sedation when you undergo revision. Financial cost may be higher. Second opinion with another Board-certified plastic surgeon may reinforce and confirm what will make your result the best it can be. Best of luck.

Breast lifts can definitely have minor revisions performed under local anesthesia in the office.  This will speed your recovery, allow you to drive yourself hhome and save you some money.

 

    Placing two different implant sizes sounds like a great idea, but this inevitably results in two different breast shapes if more than 50 cc or so is the difference between the two volumes.  I do not see any reason why a revision breast lift could not be performed with local anesthesia and oral sedation.  This would depend upon the maneuvers employed and your specific needs.  Kenneth Hughes, MD Los Angeles, CA

Without seeing you or a picture of you, it is hard to tell you specifically what would work best for you or whether an office setting is the best place to do it.  It is not unusual to do minor revisions in the office under local anesthesia.

First, it would be helpful to see your pictures.  You do not need to worry about an office based procedure as many surgeons do perform these.  If your surgeon has been doing this for 30 years, as you say, then he most likely knows what he is talking about.

While it is possible to do minor revisions in an office settling, it would be impossible to know whether this would apply in your case without photos to show the level of disparity.  As a general rule if only skin is being removed, this can be numbed with local anesthesia and a revision accomplished.  However, there may be other issues to deal with making an in office revision less than optimal for you.

Thank you for your inquiry.   Yes, many small asymmetries can be corrected under local anesthesia in the office.   However, without seeing photos it is difficult to say that you may be a candidate.   With a BA and BL combination, many times it takes 6 months for asymmetries to correct as the scars mature.   Your asymmetry may be due to your implants being at slightly different levels in their respective pockets.  That also can correct on its own without a revision but would not, in my opinion, be an in-office correction if it doesn't correct on its own.  If the implant levels are symmetric, then correcting the nipple height in the office is very easy to do.I hope this helps.

Symmetry is the curse of plastic surgery and even though the same operation is done on both sides they frequently heal like they are on two different people. You appear to have some nice improvement as you progress and it is possible that this will continue. You are at the 10  month period and it may be time for a reassessment and possible revision to center the nipple over the implant  and revise the mastopexy.  Possibly converting to a vertical type.

I assume your surgeon is going to do this in a fully accredited facility.  This can certainly be done in an office setting.

First be patient. Wait for another month of healing before pursuing revision surgery. Many changes occur in the first three months after surgery. Next, get one surgery to complete all of the revisions necessary.  If you have a size discrepancy at that time then the implant can be adjusted at that time.  It is likely that you will require anesthesia if these things need to be done.  While I agree that minor revisions are easily done in the office, make sure you are getting what you need for a complete result.  Good Luck