Breast asymmetry after augmentation - can this realistically be fixed? (Photo)

Generally speaking, there are three variables that determine breast augmentation outcomes.
The first is patient candidacy.The second is the choice of implants in regards to size shape, and type.
The third is the surgeons ability to place the implants in the correct anatomic location.
In your case, your candidacy was less than ideal.
Your nipples are highly divergent and you have pressed a symmetry.
Most people have a left breast that sits higher on the chest wall than the right side.
This was true for you preoperatively as well.
Even though your left breast had greater ptosis the left infra mammary fold was higher than the right side before surgery.
Surgeons should not move the infra mammary fold.
If you look at anatomy pictures for the pectoralis muscle, you will see that the central pectoralis muscle is not covered in fascia.
The tenderness, insertions and origin of the muscle has short segments of fascia, but the main muscle does not get
There is no sub facial plain on the pectoralis muscle.
You’re right breast has started to bottom out slightly.
This is most likely related to the technical placement of the implant, which is in part related to the decision to place the implant above the pectoralis muscle.
Placing the implants more immediately to create a look of cleavage, increases the appearance of nipple divergence.
Generally, speaking augmentation is going to make nipple divergence more obvious because it causes breast projection. This is something patients need to take in the consideration when having breast augmentation.
Patients who have highly divergent nipples are going to worsen the appearance of the divergence.
In the end, your candidacy for quality breast augmentation was inherently limited.
The surgical outcome is fairly decent. With the exception of the right implant beginning to bottom out.
Using large implants tends to increase the chance of undesirable side effects, and in your case will worsen the divergence.
And a nutshell, all three variables are involved in your outcome to some degree, but the biggest variable was your candidacy for the procedure in the first place.
I hate to be so forward and wish I could be a little more optimistic.
I say it like it is.
I’m not sure if revision surgery is indicated at this point.
I suggest you wait a bit to see if you’re right implant begins the bottom out more.
If it does, you probably need to have that corrected.
Best,
Mats Hagstrom, MD