11 months post op - Is there a chance that my uneven breast will even out or should I consider a revision? (photos)

Question

I downsized my implants and had a lift and internal bra done 11 months ago. I noticed a difference in the incision placement in the inframammary fold soon after and voiced my concern over the left sitting higher. Was told to massage it. It never evened out now the right sits lower and softer. Surgeon wants to charge for revision on top of surgical room/anesthesia fees. Any chance this could still even out? I hate the difference in shape of my breasts.

Ira H. Rex III, MD · Answer

from your middle photograph, you seem to have relatively good nipple symmetry and shape. this is a very difficult operation which has a fairly high revision rate. I'm not sure if your photographs show the whole story. You might consider getting a second opinion. If you can accept the result for now, it may be best to wait a number of years and see how things progress with time. Breast tissue is often unpredictable as far as recurrent ptosis and other problems.

Daniel Barrett, MD · Answer

Dear bam975,
it is unlikely that your results will improve with more time. 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

Gary M. Horndeski, MD · Answer

Your implants are too large for your chest wall, they are still uneven, and you will need a revision. I recommend smaller implants, plication of the pockets inferiorly and laterally and you may also need medial plication.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You might get the tissue to soften with oral Accolate and external ultrasounds treatments. Otherwise, surgery will be needed to help release the tissue.

Mats Hagstrom, MD (license on probation) · Answer

All the women have breast asymmetry, and the breast are typically not positioned evenly on the chest wall.
Almost all individuals men and women have the left breast sitting higher on the chest wall than the right. The difference is usually about a half inch.
It’s a little bit difficult to see what the concern is. I’m assuming the picture in the middle is the most current picture.
 I always recommend patient discuss revision policy before scheduling surgery with any plastic surgeon.
At this point I think your choice is either continue working with your current provider or schedule a second opinion consultation with another provider.
Best,
Mats Hagstrom, MD

11 months post op - Is there a chance that my uneven breast will even out or should I consider a revision? (photos)

Answers (5)

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