Is my breast naturally asymmetrical or is it caused by implants? (Photo)

Question

Hello doctors I had 450 cc under the muscles 3 years ago my right is not fully dropped and they are uneven around the nipple I was wondering if I had this assymetry was before or implants caused it thank you

Benson Pulikkottil, MD · Answer

Hi! It appears that your breast preop are asymmetric. the right breast has less tissue and may have needed more dissection to accommodate a large implant. A small mastopexy can fix this.

Semih Yildiz, MD, FEPOBRAS · Answer

Looking at your photos, there appears to be some natural asymmetry in the breast shape, nipple/areola position, and chest wall before augmentation. This is very common. Implants often make pre-existing asymmetry more noticeable because they add volume and create a more defined breast mound.

At the same time, the current photo also suggests that implant position and pocket shape may be contributing. One side looks as though the breast/implant sits differently, and the nipple-areola position is not the same from side to side. After 3 years, an implant that has not settled is unlikely to "drop" much more on its own.

So the answer is likely not all one or the other. You probably had some asymmetry before surgery, and the implant pocket, implant position, implant size, or soft-tissue differences may have amplified it.

If it bothers you, the next step is an in-person exam with a board-certified plastic surgeon. Revision options depend on the exam and can include pocket adjustment, capsulotomy or capsulorrhaphy, changing implant size/profile, fat grafting, or a small lift/areola adjustment if nipple position is the main issue. Comparing your pre-op photos with your current photos will help determine how much was pre-existing and how much is implant-related.

Daniel Barrett, MD · Answer

Dear nouhaila,
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

Brian K. Reedy, MD · Answer

Hello, thank you for your photos.  From your first pre op photos you appear to have asymmetrical breasts from the start.  This does not mean you can't make changes to help them look better.  I would recommend meeting with your surgeon to discuss options.  Best of luck!

Connie Hiers, MD, FACS · Answer

Before implants, your nipples were symmetrical but one breast was slightly larger. It does appear that one implant has not completely dropped. You could try oral Accolate and external ultrasound treatments to see if the pocket can be softened. Otherwise, it will take surgery to reposition the implant.

Sean M. Bidic, MD · Answer

Breasts are naturally asymmetric. you seem to have experienced some nipple ptosis (droop)--on the right side more the the left side--post augmentation. this is nothing to be concerned about. Better symmetry could be achieved with a mastopexy which will allow a change in nipple/areloar position.

Camille Cash, MD · Answer

From the submitted photos it does appear you had asymmetry prior to your surgery.  If not addressed during your augmentation it will still be present afterwards.  Sometimes it becomes more obvious after surgery since the breast volume is increased and they are scrutinized more closely by you.  A revision would bring them into better symmetry.

Is my breast naturally asymmetrical or is it caused by implants? (Photo)

Answers (7)

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