Misaligned Nipples and Asymmetrical Breasts, 5 Month Post-op - What Can Be Done? (photo)

Your pictures are very helpful in that it shows when you are lying down the pockets are too wide. You also have some bottoming out of your implants. The same incision may be used to  close off the pocket on the sides and bottom. A bigger implant on the smaller side should improve the asymmetry. Your original doctor sounds like he or she is giving you a reasonable fee for revision. Good luck and please see a board certified plastic surgeon.

Based on your pictures you had some asymmetry before surgery. Your shape now can be corrected with resizing and moving the pocket and using sutures to provide better cleavage. This can be done through your existing scar and the fee mentioned should cover your anesthesia and facility fees which is appropriate. Best of luck.

Everyone has some breast asymmetry and you certainly had it before surgery.  The lateralization of your implants can be adjusted and othere asymmetries can possibly be "tweaked."

Thanks for posting such excellent photos - before/after/muscle function. Yes I see before and after asymmetry BUT in my opinion very minor. It could be addresses with fat grafts and minor nipple relocation. But the lateral pocket displacement would that a true operation of a lateral capsularraphy. The fees are very hard to comment upon. In my practice my charges would be approx. $2,000 to $2,500 to cover costs. Hope that helps. 

From your photos, you did have breast asymmetry pre-op but it seems that you still have asymmetry. However, your breasts will never be exactly the same. The largest issue is the lateral displacement when you are laying down. You would need to have an internal tightening of the breast capsules internally. You might even need larger/wider, similar sized implants to deal with the distance between your breasts. Keep in mind that your right nipple has always been more toward the side and if you push that implant toward the center the nipple will appear even more toward the side. This is a complicated situation that needs to be addressed with your surgeon in person.

Best of luck,

Vincent Marin, MD

San Diego Plastic Surgeon