One breast has settled considerably lower than the other. Can this be repaired without a lift? (photo)

Dear skwmv,    Thanks for submitting you picture. From the picture and your history , I suspect that you have developed capsule contracture on the left side. Obviously examination of your breasts is needed to confirm that assertion. If indeed that is the case , you can have improvement of the left breast by doing capsulotomy which will lower the sub mammary fold and lift the nipple. It will also improve on your cleavage. The capsulotomy might also expand the breast and even up more the breasts as far as size.  Always, consult with experienced board certified plastic surgeon and check their before and after pictures to make sure that you like the results.    Best of luck,                             Dr Widder

Thank you for your question and photo.  It does appear that your right inframammary fold is a bit lower than the left. What is uncertain is whether this was present before your surgery.  There are often differences between the breasts and this needs to be determined prior to surgery.  If the fold is lower as the result of surgery, a "lift" is not really the fix.  If it is truly the lower fold that bothers you, then the fold needs to be elevated, which is done in a surgery.  This can be accomplished with sutures or a mesh material to support the implant.  

NO! You can opt fore additional minor lifting surgery if you desire. But this is a very personal decision.... 

Based not he photos, the difference between the breasts is very small, and one would expect that the difference would be hardly noticeable in clothes and even in a bikini.  In considering revision surgery or touch-up procedures, it's important to remember that complications can happen, and sometimes, it's simply not "worth it" to chase small differences.  One also notices that one areola is somewhat wider than the other, and this is also a part of the difference.  In general, when differences are as small as is seen in this case, we don't recommend surgery in our practice.Reza Momeni, MD FACS * The above commentary is not personal medical advice, and is intended for general education on the internet.

Some breast asymmetry is normal. This is waht it appears in the photos with your breasts. If concerned review your phoots with your surgeon.

Your right inframammary fold (below your breast) is lower than your left.  It is difficult to tell if this was from Preoperative asymmetry (need a pre op photo to tell) or if the implant has dropped a bit more on the right side during healing.  It sounds like your right breast might have been bigger than your left before surgery and sometimes this is associated with a lower fold on the larger side.  If the fold has lowered more after surgery,  you have two options, (a) lower the left fold slightly or (b) raise the right fold.  Option (a) is easier, but it depends on which breast shape and appearance you prefer...best to discuss this with your surgeon.

It looks from your picture and from your description like the right breast inframammary fold is now lower than the left. If that is the case, the fold can be repaired surgically through your previous incision without any new scars.  Only a good in person physical exam by a board certified plastic surgeon can give you your final answer.  Best of luck!

Thank you for the photo but an examination and pre-op photos are also needed to make an intelligent response.  That said if the right nipple is lower then the left a lift would be needed to bring them to the same heightDr Corbin

Thank you for your question.  Based on your photographs it appears that the left nipple areola and breast (right in the photograph) may well have been lower preoperatively.  Based on the photograph a minor lift can be done on the left breast to correct nipple position, reduce areola  and lift the breast.  I am not aware of any nonsurgical procedure that can accomplish this.

From the single photo I suspect this is due to your natural asymmetry but a preop photo would be needed to really know. There are many options to correct your asymmetry. Get in to see your surgeon for his ideas.