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

I had my augmentation just over 2 years ago (under the muscle). The right side received a mentor smooth round moderate plus profile gel implant sized 300. The left side received the same but sized 325. In the past year the right side has begun to settle considerably lower than the left - visually it appears at least an inch lower than the left side. Is there a way to repair this without a lift?

Doctor Answers 11

Post op breast asymmetry

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 to discuss this with your surgeon.

Maui Plastic Surgeon
4.3 out of 5 stars 26 reviews

Breast position changing

Thank you for your question about breast augmentation.

  • The photo suggests that one implant is lower and may be moving down the chest slightly,
  • I am usually able to correct this by re-setting the crease
  • This supports the implant and lifts the breast back up
  • Your surgeon will have to examine you to be sure this is the problem
  • It is fairly straightforward and I can usually do these fixes in the office procedure room -
  • So let's hope whatever you need is as easy. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Breasts asymmetry

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

Shlomo Widder, MD
McLean Plastic Surgeon
4.8 out of 5 stars 124 reviews

One implant lower

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.  

Brian C. Reuben, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 34 reviews

One breast lower than the other after augmentation

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.

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

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

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

It's normal to have a little bit of difference between the breasts

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.

Reza Momeni, MD FACS
Summit Plastic Surgeon
5.0 out of 5 stars 42 reviews

Breast asymmetry

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

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Breast Asymmetry

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. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 27 reviews


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 height

Dr Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 61 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.