One breast fuller and bigger than the other after augmentation (Photo)

Question

I had a Breast uplift and Mentor Xtra Gel 515cc Implants in July 2023.So it is 6 months now and the right breast has still not dropped. It is alot smaller than the left breast and he skin is tight and is painful, around the side and is uncomfortable to life my arm up.Any advice please as it is upsetting.Thankyou

Carlos Marciales, MD · Answer

Hello, it’s been more than 6 months since your surgery, I think you will need a revision of your implants, to see if they are the same size, and if you need to use different sizes or remove tissue from the bigger size to make it even

Semih Yildiz, MD, FEPOBRAS · Answer

In the photos, there is a visible difference in breast position and shape, with one side appearing tighter and higher while the other looks fuller and lower. At 6 months after a lift with implants, some settling can still occur, but persistent pain, tight skin, a breast that has not dropped, and discomfort lifting the arm deserve an in-person assessment rather than simply waiting.

Possible causes include a tight or high implant pocket, implant malposition, scar tightness, capsular contracture, or a difference in how each side healed after the lift. Your surgeon should examine you, compare you with your early post-op photos, and decide whether massage, physical therapy, imaging, or revision surgery is appropriate. If the breast is becoming harder, more painful, red, hot, swollen, or if you feel unwell, you should be seen urgently. Otherwise, arrange a focused follow-up with your surgeon or a board-certified plastic surgeon experienced in breast revision.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry, but without an exam it is hard to advise.  A firm, smaller painful breast that has "not dropped" suggests breast encapsulation.  Please visit with your plastic surgeon to discuss further.  Good luck.

Brian K. Reedy, MD · Answer

Thanks for your question! I would suggest a follow-up with your surgeon. You may need a different implant on the right side. If it is causing discomfort, you may be developing a capsular contracture. Either way, you should be seen in person. Good luck!

Daniel Barrett, MD · Answer

Dear SleepyTeaDrinker,
based on your photos, it looks like you have significant asymmetry. I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Matthew Zeiderman, MD · Answer

If you're six months out from surgery you should see your surgeon to discuss concerns. it looks like both implants have dropped but there is some asymmetry in the lift. I don't know if you had asymmetry before surgery or not. nonetheless, talk to your surgeon about your concerns.

Connie Hiers, MD, FACS · Answer

The larger side is bottoming out from the weight of such a heavy implant. You did not post before photos, but I suspect you were not even. I would suggest lifting that lower pocket and going down in size. You might need mesh for more support since your tissue has been stretched with such large implants.

Camille Cash, MD · Answer

From the photos it appears you will need a revision to improve your results.  If the same size implant was used for both breasts it may be that the larger breast needs to be reduced, or potentially use two differently sized implants.

Mats Hagstrom, MD (license on probation) · Answer

To make a quality assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
If you don’t have proper before, and after pictures to ask your surgeons to forward, the pictures they took.
You write breast looks fine to me, but your left breast looks like there is still skin redundancy. I’m guessing you had significant breast asymmetry Before the procedure.
Revisions after augmentation mastopexy is fairly common.
I suggest you follow up with your provider and discuss your concerns with him or her.
If you don’t get the help or support, you’re looking for then consider having an in person second opinion consultation with another provider or two.
 For second opinion consultations, I suggest patients come prepared to bring with them a complete set of proper before and after pictures, and a copy of your previous operative report.
These are all part of your medical record which you can request from your current provider.
I recommend patient avoid virtual, consultations and schedule consultations as in person meetings, which gives you an opportunity to get a quality assessment, ask appropriate questions, and begin the vetting process of finding the right provider.
During in person, consultations, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, who have similar body characteristics to your own.
For common primary procedures at provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
 Before and after pictures of revision surgery will be less since primary procedures are more common.
There’s no correct number of consultations needed to find the right provider.
The more consultations you scheduled the more likely you are to find the best provider for your needs.
Scheduling only one consultation, eliminates the ability to choose the better provider.
 I think with a revision procedure your outcome should be improved.
We can’t really judge the outcome without knowing what you look like before.
The arm pain is unfortunate.
Some discomfort is not uncommon after surgical procedures.
Again, I suggest you bring this up to your provider.
Best,
Mats Hagstrom, MD

One breast fuller and bigger than the other after augmentation (Photo)

Answers (9)

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