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

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.

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.

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!!

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.

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

You did not post a frontal before photo, so I cannot be specific. Often breast differences are not noticed by patients until after enlargement with implants. Ask to compare you before and after photos with the same pose so you can see. A drained hematoma should not be a problem unless a capsule developed.

Hi and welcome to our forum!From your photos, your breasts are at different "altitudes" on your chest wall, and also demonstrate size asymmetry. These asymmetries are not very apparent in the preoperative photos.I cannot 100% ascribe the asymmetry to the hematoma, but it may have played a significant role. You may be a candidate for secondary touch up. 15% of cosmetic surgical procedures may benefit from secondary revision.Best wishes...