4 months post op asymmetrical (Photo)

Question

I had 400cc below the muscle and a lift in April. My right breast has always seemed higher/diff from day one post op. Not hard, no pain but I'm concerned about the lower pole fullness (lack thereof) on the right breast. Can this continue to stretch? My surgeon said even if it looked this way 6 months post op, he is not sure he would recommend revision. Is it possible for this to drop or stretch at this point? The implant feels like it's still higher than the other

Brian K. Reedy, MD · Answer

Hello, thank you for the photos and question.  You definitely want to make sure you continue to wear good bra support to help keep the implants for stretching.  Without seeing your pre photos it's hard to see if you had any differences to start.

Chet Mays, MD · Answer

Thank you for the inquiry!  There can be slight asymmetries, but we would love to sit down with you to discuss your concerns. Schedule a consult with a Board-Certified Plastic Surgeon to help you reach your goals.

Igor Burko, MD · Answer

Hello, my name is Dr Igor Burko and I am a plastic surgeon at SY Aesthetics in NYC. Firstly, no two breasts are ever exactly the same, there will always be mild asymmetries. 
I would wait one full year to see how both implants continue to settle prior to making any decision.
I think you have a nice result and each side implants/breast will heal and settle differently.

Daniel Barrett, MD · Answer

Dear Creative764023,
I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the early stages of the healing process.You will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Irena Karanetz, MD · Answer

Hello,
 
Thank you for the question and the photos.

Overall, this is a very good result following breast lift with implants surgery.  
 
Regarding mild asymmetry, it may improve over time. 
 
Implants can take take 6-12 months to settle fully into the their final position for the best cosmetic results. 
 
I would encourage you to discuss your questions and concerns with your Plastic Surgeon.
 
I hope this helps.
Best regards, Dr. Karanetz
 
Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon
Queens, New York
(516) 833 0309

Gerald Minniti, MD, FACS · Answer

I know you like seeing more lower pole fullness of the left, but that implant is actually sitting too low, especially only 4 months from surgery. The right implant is nearly perfect. Regardless of your surgeons comment, you would definitely benefit from a capsulorrhaphy of your left breast implant. This surgery could be performed at any time now, but should probably wait until the 6 month mark. If your surgeon declines, find another breast surgery expert because you should not have to accept this result even if it is not awful.

Connie Hiers, MD, FACS · Answer

I would suggest tightening the lower implant since it has settled down more. The right side looks great.

Camille Cash, MD · Answer

Based on the photo it appears the asymmetry that is present is mild.  You may notice some minimal improvement over time as things soften and stretch.  Unless it is particularly bothersome or the asymmetry worsens, it doesn't appear that a revision would be recommended.

Darryl J. Blinski, MD · Answer

Since you only posted one photo with no preop photos, very hard to advise. Better to post preop photos with six month postop photos for better response. Or try virtual consultation. With the one posted photo it appears slight a symmetry that could be corrected with a minor operation of crafting to the inferior pole of the right approximately 100 hundred cc. Fee $5000. Again best to virtual consult with for more accurate discussion.

Mats Hagstrom, MD (license on probation) · Answer

To make a quality assessment regarding the outcome of any plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
If you don’t have it before, and after pictures, then ask your surgeon to forward the pictures they took.
Regarding sightedness when it comes to discussing outcome, it’s very important that we maintain Clear and consistent descriptions.
Pictures taken in mirrors are reversed and sometimes patients used to term left and right based on looking at the picture rather than their own left and right side.
The correct terminology should always be refer to the left side as the patient’s left side.
This is the same side where the heart is.
For most individuals the left breast sits higher on the chest wall than the right side.
 The difference is about half an inch.
This is for both men and women.
You can see where the breast begins by identifying the IMF(infra mammary fold) on each side. 
If one breast sits higher on the chest wall than the other than the implant also needs to sit higher on that same side.
Plastic surgeons can’t move the breast on the chest wall.
To me your outcome looks excellent and I see no strong indication for doing revision surgery.
To me you’re outcome looks excellent and I see no strong indication for doing revision surgery.
I think you should be pleased with the outcome.
Having access to your before pictures would confirm asymmetry that’s present on all people. 
Best,
Mats Hagstrom MD

4 months post op asymmetrical (Photo)

Answers (10)

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