Breasts look asymmetrical after 7 months post breast augmentation - should I ask for a revision? (Photo)

Question

I had a breast augmentation 7 months ago and my breasts look weird. They both dropped differently and the nipples are asymmetrical now. My breasts were not asymmetrical before. I am very conscious about this. What are my options? Should I go back to my surgeon and ask for a revision? See someone else? Or take them out?

Gerald Minniti, MD, FACS · Answer

Your asymmetry is due to one breast implant settling at a different level than the other, having significant effects on the soft tissue coverage over that inplant, especially apparent being the nipple. This is called implant drop out. Repair is definitive and long lasting when done correctly. You will need a capsulorrhaphy with mesh ('internal bra') to reposition the implant back to the correct place on your chestwall.

Ronald J. Edelson, MD · Answer

One nipple might have been a little higher than the other to begin with and implants sometime accentuate that. I don’t know what type of revision would be of any benefit

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided before photographs. However, it is most likely your breasts were low on the chest wall. As a result, your surgeon has to place the implants low and release the inframammary fold. The only thing holding up the implants is the skin envelope and it is stretching and going to descend more in time. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Matthew Zeiderman, MD · Answer

Thanks for your question. Understandably this is a distressing issue for you after an elective operation. You should first return to see your operating surgeon and see what solution they might have for you. Most likely they'll address your concerns. If they do not, then seek a second opinion.

Connie Hiers, MD, FACS · Answer

Your left breast has bottomed out and the inferior pocket needs to be elevated. You might need to go down in size since you are not supporting this weight well. Please discuss this with your surgeon.

Breasts look asymmetrical after 7 months post breast augmentation - should I ask for a revision? (Photo)

Answers (5)

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