Breast asymmetry after hematoma. Is the asymmetry due to my anatomy or the hematoma? (Photo)

Question

My first surgery was last year. I had 255cc in both breasts. My right breast had a hematoma which we drained. Ever since its been significantly larger than my left. My doctor said that the asymmetry would resolve with time. Fast forward 10 months and it hasn't. It's much bigger and lower than my left breast. He says that there's no more fluid in my breast and my implant is not bottoming out. He says the asymmetry is due to my anatomy but I think it's because of the hematoma. What do you think?

Gerald Minniti, MD, FACS · Answer

The asymmetry is due to the hematoma and subsequent evacuation. The inframammary fold is lower and more medial. Now that it hasn't resolved, maybe it's time to fix it, if it is bothering you. My concern is your doctor's assessment of your situation; he/she is either unable to understand what's causing the asymmetry or he/she is being dishonest. Either one is an undesirable quality for a surgeon.

Aftab Siddiqui, FRCS(Plast) · Answer

Thanks for the question and providing the pictures. From the pre op pictures it appears that there was a small difference in level of inframammary fold. The haematoma and subsequent evacuation could have resulted in bigger pocket. It would be not reasonable to give it more time to settle before you consider any revision surgery. You can benefit from tightening of the pocket in future.

Stefan Mark Szczerba, MD · Answer

Hi, to me this looks a bit more like implant malposition.  The best way to treat these is to use a mesh material called Galatea to support the implant.  I'm not sure it's quite "bottoming out" but it is kinda getting there.  The hematoma may have been coincidental to the settling but I don't think it's related.  Reviewing your before picture of that right side in the front view would be useful.  Best Wishes!!

Donald R. Revis Jr, MD · Answer

Good morning,
I agree that you aren't bottoming out but I believe that as a result of everything the right side went through the pocket is a bit too large for the implant and larger than the pocket on the other side, allowing more settling and thus a lower appearance and less upper pole fullness on that side. I would tighten up that pocket with the original Internal bra, my strong permanent internal suturing technique, which would vastly improve your asymmetry.

Daniel Barrett, MD · Answer

Dear Genuine877791,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Breast asymmetry after hematoma. Is the asymmetry due to my anatomy or the hematoma? (Photo)

Answers (7)

Answer: Asymmetry

Answer: Asymmetry

Answer: Breast asymmetry

Answer: Breast asymmetry

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Breast asymmetry after hematoma. Is the asymmetry due to my anatomy or the hematoma? (Photo)

Answers (7)

Answer: Asymmetry

Answer: Asymmetry

Answer: Breast asymmetry

Answer: Breast asymmetry

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.