Should I be concerned with my asymmetric breast 5 months after augmentation? (Photo)

"Final" healing takes between 6-12 months, as shown by many studies and personal patient experiences. Thus, if you are a "rapid healer" this could be pretty close to your "final" position for both sides. Or, you could have many more months for change to occur, and "assisting" proper positioning of your implants in their respective pockets would aid your outcome.One way to assess if you are the former or the latter would be to look at your incisions. If they are still pink and slightly firm, then you have further healing, softening, and scar maturation to occur, including inside your breasts (specifically, your implant pockets). This means your scars can be expected to change further, and you can actively affect your outcome by using an elastic strap at night. I would have you wear it above the "high" breast and below the "low" breast, Mexican gun belt style. (You would want to wear a T-shirt over the strap and safety pin the strap to your T-shirt to keep it in place.) This helps put downward pressure on the high implant, while supporting the already-there implant from further drop.I tell my patients that their scars (and pocket positions) are modifiable at least until scar maturation has occurred. This gives most women plenty of time to make these "small adjustments" in position to aid symmetry. Once scars are mature (as evidenced by soft, pale external scars), then you pretty much have what you have, and any revisions after that would be surgical.Neither breast looks bad, and you DO have a good result. But they don't match, and if they did (assuming you like your size), you would have a spectacular result! Since you are massaging and compressing, I also assume you have smooth round implants, since textured implants (teardrop AND round) cannot be expected to drop, settle, and improve position much at all over time (since the texture is designed to adhere to the tissues.)Ask your surgeon about an elastic bandeau--can't hurt, might help! Best wishes! Dr. Tholen

You might have some 'bottoming out' of your right implant - it appears to be positioned lower down on your chest wall than the left implant - which looks nice. Speak to your plastic surgeon about this issue - it is in the realm of a cosmetically acceptable result, for sure.

The right breast looks as if it dropped a bit more than the left.  Two ways to approach - drop the left or tack up the right depending on which breast you like best.  It is best to wait 6-12 months and continue to see your plastic surgeon in follow up.  Keep open communication and discuss a potential plan to give you some peace of mind. 

Hello, I can see the asymmetry. You have a small frame, and your implants are large....I suspect in 6 months your breast shape, position, and appearance will be different. It would be helpful to see pictures of how your breast progressed after augmentation to see if its a capsule contracture issue or a failure of soft tissue support or other. ...you can actually displace your implant with aggressive massage and compression...so I would talk to your PS about his thoughts on your exercises. I have no one doing breast massage or any thing to the breast long term after they are in position.

Thank you for the pictures. You do have some mild asymmetry. This might be corrected by lowering the breast on the left slightly. I would seek reevaluation by your plastic surgeon for examination to determine the best methods.

Check with your plastic surgeon and see what he/she says. From your photos it appears the right implant is lower than the right. Your surgeon will be able to determine if the right side is dropping too much, if the left side is developing a capsular contracture, or if the implants are falling into your own asymmetric breasts. Implants often settle where the breasts themselves are, so the higher implant may be settling into a higher breast.The cause of the asymmetry determines the treatment. Click on the link below to view a case in which the patient's implant dropped too far, and the capsule was tailored to position the implant in a better position.All the best.

The asymmetry that you are referring to is visible in the photographs. Whether or not you should be “concerned” is a very personal issue; in other words, some patients would be pleased with the outcome of the procedure, some would wish to improve the symmetry. Exactly what procedure you should proceed with, if any, will depend on which breast you like better. If concerned, communicate your questions/concerns with your plastic surgeon in front of a full-length mirror.  Hopefully he/she has experience helping patients with revisionary breast surgery; working together you will come up with the best plan. You may find the attached link, dedicated to revisionary breast surgery concerns, helpful to you as you consider options. Best wishes.

It would be helpful to know if you had the asymmetry immediately after surgery, or whether one implant progressed in a different way than the other. Regardless, waiting six months would be advisable.  In general it is easier to drop one implant slightly than to try to raise the other implant.  Review all options with your surgeon as he/she will have your best interests in mind. 

Your before pictures would have ben helpful to evaluate the results. Your implants are very large for your frame and some times the implants exaggerate the asymmetry.

I agree with Dr. Ferrari that without pre-op pictures its hard to evaluate but I do agree that the left side appears slightly higher.  The fix for this is a minor lowering of the left implants to make them even.  Good luck, Dr. Schuster in Boca raton