One boob is higher than the other one and pointing different directions. Will it improve? (Photo)

Question

Its been about 3 months post opt. One of my breast is higher than other and it seems to be pointing in diffrent directions. I think prior to my surgery there was a slight variation on how my boobs pointed. Am i still in healing procrss and my boobs will drop to be the same? How about the direction of the nipple? I have 475 cc on right 450 cc on left. Silicone

Sheila S. Nazarian, MD · Answer

Yes, you are still in the healing process. It can take up to 6 months. So, for now, be patient but if you are still unhappy with how things look at the 6 month mark, then schedule an appointment to speak with your surgeon. Best, Dr. Nazarian

Alexander Anzarut, MD · Answer

Thanks for the question. It may be hard to say with certainty what has occurred without seeing the pre-operative photos.Breast asymmetry prior to surgery is very common. The smaller breast will usually have a higher infra mammary fold (sit higher), the nipple points more towards the middle and less towards the side, the nipple may sit slightly higher, and the areolar may be slightly narrower.Placement of an implant may make the asymmetries appear more pronounced. Placing asymmetrical implants only addresses volume and not the other differences. That said, treating the other asymmetries may not be worth the associated scarring and or risks.It is possible to address the implant position by changing the infra mammary fold. However there are complications that can occur with this. It can also be associated with a painful recovery. With your degree of asymmetry I would advice against this, unless it is a severe problem for you In 6 months time. Dr Alexander Anzarut

Gerald Minniti, MD, FACS · Answer

Hello,Asymmetric implant positioning will lead to asymmetric nipple positioning on the mound, possibly accentuating pre-existing nipple position asymmetries.  Your photo makes the upper pole asymmetry less obvious, hence one doctor stating your implants are in the same position, which you know they are not.  Additionally, your photo leaves me with the impression that your lower breast is larger.  You are still in the healing processes and should not jump into any revision surgery yet.  If things did even out, I would hope that the higher implant would 'catch up' to the lower one.  How much this occurs is up to speculation, but I don't think they will ever be perfectly even.If you decided in 6 months that you want a revision, then a decision will need to be made whether to raise one, lower the other, or both.  Additionally, a decision will need to be made if a smaller or large implant should be used on one or the other, if necessary.

Farbod Esmailian, MD · Answer

Most patients do have some asymmetry before surgery and at times this asymmetry becomes a bit more apparent after the procedure.  This is at times because you are paying more attention now to your new breasts as well as the implants accentuating the asymmetry.It usually takes about 4-6 months for the implants to settle and to be able to say that you are at your final result.I would recommend discuss this with your plastic surgeon when you are 6 months out to see if there is any thing that can be done to help improve your results.  At times a revision surgery is not worth the risk for what may be gained.Good luck.

Charles Galanis, MD · Answer

Breast augmentation will typically not completely correct pre-existing asymmetry and in some cases, may make it more apparent.  Without preoperative photos, it is difficult to determine if the asymmetry you're referencing is simply a manifestation of your normal anatomy or new asymmetry from your augmentation.  I do advise patients to expect some changes up to 6 months from the date of your surgery so it is possible you will experience additional subtle changes.  I would of course relay your concerns to your surgeon as he/she clearly knows you and the specifics of your surgery best.  Hope this helps and good luck!

Paul J. Leahy, MD · Answer

Thanks for sharing your case. It looks as though your implants are in a good, symmetrical position. Oftentimes, an implant can accentuate underlying differences from left to right that were there prior to the surgery. I always try to point that out to new patients. Still, you appear to have a very nice size/shape, and a very reasonable outcome. Best wishes.

Raymond Jean, MD · Answer

Three months out this is likely your final result.  I would not expect your right breast to drop any further.  It would be good to see before pictures to see the differences in your breasts before surgery.  It is also possible that you have capsular contracture on the left which is a build up of scar tissue.  I would recommend you  be evaluated by a plastic surgeon.  Best of luck.

Arian Mowlavi, MD, FACS (license on probation) · Answer

From your photos it seems that your right breast is larger than the left which goes along with a larger implant being placed in the right breast. Were you asymmetric prior to surgery? You should follow up with your surgeon.

Christopher Costanzo, MD (retired) · Answer

Most likely your nipple pointing different than the other side was present prior to surgery.  Most women don't look real close at their breasts prior to getting their implants.  If one implant is higher, it could be do to many different factors including: capsular contracture, natural repositioning of the implant on the chest wall etc.Your PS can examine you and let you know what is going on.

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