Will my left breast remain bigger than right after BL and BA? Will I need a revision and what's done to correct this?

Hi.  At just three weeks out, it's really a little too early to tell about shape details like this.  We need to see how your tissues relax as healing progresses.  Typically, after a lift, there's a little "overtightening" effect, that relaxes over 3-6 months.  Right now, I would say that you have a nice looking result, even with the minor difference.Since the next bigger implant is a 550 cc - this might over-correct the smaller side.  Other options might include adjusting the lift on the left, or perhaps doing a little fat grafting on the right side.  Best to communicate with your surgeon about these concerns.

On your pre-op photo-- your Left breast is larger than the right. 3 wks Post-op-- swelling is still there, but similar size implants would not correct the asymmetry. However, it does appear that you are less asymmetric post-operatively which may be a result of your surgeon removing slightly more tissue from the left to lessen the asymmetry. Give it more time to heal

 . . . especially if you started out with asymmetry, and had identical implants placed. Your surgeon may have compensated for pre-operative size discrepancy by removing more skin and tissue from the larger breast, in which case your present asymmetry may be entirely differences in swelling. As other have stated, this will take months to settle and resolve, making any final discrepancy likely less.Absolute symmetry is both unrealistic and impossible, but significant improvement is certainly every surgeon's goal, and I hope your surgeon took the smallest amount of "extra" skin from your smaller breast, and only the true difference "more" from the larger. This would give you eventual near-symmetry, though the left seems more swollen now.If true asymmetry remains after 6-12 months, then a larger implant can be placed in your smaller (right) breast. But it's truly too early to worry about this now. Relax and let things heal--you look great thus far. Samll adjustments in skin and scars can also be considered when/if the time comes. Keep in close contact with your surgeon, s/he did a great job and can help you improve things more if required or requested, but not yet. Best wishes! Dr. Tholen

This is still early on in your healing process, so swelling is still present. Looking at your pre-op photo, the left side requires a more extensive lift than the right. A larger implant should be placed on the right to try to correct this issue. However, going larger than 500cc can put a large amount of stress on the structures of the chest. I suggest to wait until 6 months post-op to properly evaluate your results. In the meantime, you can try using an upper pull bandeau to try to even them out.

Based on your preoperative photos ,  your left breast was bigger than the right .  The implants used were the same size size fur both breasts so this would not correct the asymmetry you had prior to surgery.  So you shouldn't be surprised.  In fact , any size discrepancy would be accentuated once implants are placed .  This should have been discussed with you at the time of consultation and is present in your consents prior to surgery .At this point you are very early in your postoperative period and should wait to see how your implants settle.  If you are still unhappy, then a larger implant will be necessary to match the size of the other breast.  You still must understand that both breasts will not be identical.  There will always be a difference between the two.

You are very early in recovery and much of what you see may be postoperative swelling.  He will definitely change over the next 8-12 weeks.  I would wait 3 months to make a final judgment.  Often even if an attempt is made to reduce the larger breasts the basic structural difference between the 2 breasts can still be visible.  However I expect you'll be much better in the weeks to come. For more information on breast lift plus augmentation please read the following link: