6 mo post op BA/BL and unhappy - My right breast is great, but what can be done about the left breast? (Photos)

Question

I had a breast lift and Ideal implants in January of 2022. My right breast is great, but what can be done about the left breast? My right implant is 440cc's and my left is 405cc's. Thanks in advance!

Zoran Potparic, MD · Answer

Revision of left breast to improve shape and larger implant will, very likely, be the way to correct current asymmetry. You should talk to your surgeon. Good luck.

Wayne I. Yamahata, MD · Answer

It appears you would benefit from a revision of the left breast. The exact cause and recommended procedure cannot be determined without a clinical examination. Discuss this with your surgeon who can present your options and proceed to the desired correction.

Chul Hwan Seul, MD, PhD · Answer

Looking at your case, I can say that the adhesion may have occurred due to strong internal and external scarring, or fat necrosis or fat absorption may have occurred due to poor blood circulation in the area after surgery. It seems that it can be improved through adhesiolysis (a procedure to release adhesion) and fat grafting.

Andrea Martin, MD · Answer

This can certainly be very frustrating, for both you and your surgeon! First, I would recommend speaking with your plastic surgeon about this. You likely have scar tissue in the deeper tissue of the breast that has caused the overlying skin and scar to contract, and give your breast an abnormal shape. If this has not improved with time, then it can be removed surgically, and sometimes under just local anesthesia.

Stefan Mark Szczerba, MD · Answer

I would recommend fat grafting that left breast and trying to get the vertical scar to elongate as that seems to be too short thereby producing asymmetry.  I have a bit of experience with similar cosmetic shortcomings from patients who had surgery years ago from older physicians.... definitely worth looking into!  Best Wishes!!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry your results have not been what you anticipated.  It would be great to see before images to compare but for the left lower breast's healing difficulties it is important to determine if a hematoma, tight closure, skin loss, etc caused the current appearance.  This will help guide treatment recommendations in the future.  Although I would advise waiting at least 9-12 months before any further treatment you will most likely require a surgical revision to address your concerns.

Daniel Barrett, MD · Answer

Dear apr0723,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

Thank you for your photos and questions.  It appears you would benefit from a revision to the left breast to improve the contour and shape.  I encourage you to speak with your surgeon about your concerns.  You may want to wait a few more months for the revision.

Scott Kreitzberg, DO · Answer

Thank you for your question. Congratulations on having the surgery. The right breast appears to be healing well. Regarding the left breast, I would recommend waiting until at least 6-9 months post op and then having a revision lift. The revision would improve the appearance of the lower central breast and the breast on the lower outside. Thank you for your question.

Douglas Taranow, DO, FACOS · Answer

The left breast would look much better with a revision augmentation and lift.  The left implant requires the pocket being lowered and rounded along with and the mastopexy revised and the depression released or excised.

6 mo post op BA/BL and unhappy - My right breast is great, but what can be done about the left breast? (Photos)

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