Uneven breast size, is this normal? (photo)

Hello! I recently got a BA (oct 18th 2016) I was wondering if its normal to have one breast fuller than the other one? I got 400cc (in both) moderate profile teardrop under muscle. I also had abit of asymmetry. I know its only been 6 days but its kind of freaky! Thanks!

Doctor Answers 11

Post-op Breast Asymmetry

Mild asymmetry following breast augmentation surgery is completely normal, especially if some was evident before surgery as you said. One breast almost always swells or bruises a little more than the other. Most of the bruising resolves within three weeks. Give six to eight weeks for swelling. By that time, your implants will settle in to the pocket, some of the upper pole fullness will diminish, and the portion of your breast below the nipple will typically fill out. When one breast is significantly larger, higher, stiffer, more bruised than the other, very tender, red, and warm to the touch, these may be signs of hematoma formation, capsular contracture, or infection, and should be brought to the attention of your surgeon immediately. I see no evidence of this in your photos however, so there is no cause for alarm, just normal healing. Give yourself time and make sure you keep your follow-up appointments.

Early Breast Asymmetry?

Becky.   I understand your concern, but it is way too early to worry about asymmetry. Allow your body to heal and your body accommodate to your implants. Stay in touch with your surgeon. Good Luck!

Robert M. Tornambe, MD
New York Plastic Surgeon
5.0 out of 5 stars 26 reviews

Breast augmentation

Thank you for your question and photograph.

I would recommend consulting with your surgeon so they can perform a physical examination. You are very early in your recovery period and while there is swelling present, the breasts may appear uneven. Over the first 6-8 weeks the swelling should begin to resolve and the breasts will start to drop into their pockets and appear more natural and symmetrical. Everyone heals at different rates and one side may heal quicker than the other. I would wait until you are at least 6 months post op to make a final judgement on the symmetry of your breasts. Best of luck in your recovery.

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 72 reviews

Uneven Breasts After Breast Augmentation #breastaugmentation #breastimplants

  • As you realize, 6 days after a breast augmentation is much too early to know what your final results will look like.
  • Asymmetry before augmentation, as you mention you had, predicts that you will have asymmetry after breast augmentation.  Sometimes that asymmetry can actually be magnified by having implants. 
  • Over the next few MONTHS, as swelling goes down and the implants settle into place, your breasts' appearance will change.
  • Try to be patient, and you will likely end up being very happy with the results of your augmentation. 
  • Thanks for sharing!

Breast Augmentation - Post Op Swelling?

Thank you for your question and photo. You are still very early in the post-operative period. It typically takes 3 - 6 months for the swelling to subside and and implants to settle into proper position. The breasts may swell asymmetrically. Please discuss your concerns with your board certified plastic surgeon. Also, make sure you follow all of your plastic surgeons post-operative instructions regarding level of physical activity and use of a support bra. Hope this helps and good luck with your recovery.

Takes time to heal

Breasts are always a little different.   It is far too early for you to determine anything about the end results.   Give yourself time to heal and then discuss with your doctor.  My Best,  Dr Commons

Uneven breast size after breast augmentation?

Although mild breast asymmetry is to be expected short and long term after breast augmentation surgery, if significant asymmetry is present, there is cause for concern.  Shortly after surgery, significant breast asymmetry may be a sign of a complication that requires the attention of your plastic surgeon.

  Generally, exactly what is causing the asymmetry will be best determined by your plastic surgeon, after physical examination.  Best to follow up with him/her for accurate assessment, advice, and/or meaningful reassurance. Best wishes for an outcome that you will be very pleased with long-term.

Breast asymmetry

I understand your concern, but 6 days is too early to see the final results. if you had asymmetry prior to surgery , you will likely have it after . Talk to your PS about the recovery phase . I think you will be happy with your results . 

Johnny Shea-Yuan Chung, MD, FACS
Allentown Plastic Surgeon
4.4 out of 5 stars 20 reviews

Breast Aug

just wait until all the swelling resolves to make any opinions about any asymmetries. Keep in mind that any asymmetries you may have had prior to your Augmentation are going to appear much more dramatic with implants in place. Good Luck! 

Jordan P. Farkas, MD
Paramus Plastic Surgeon
5.0 out of 5 stars 9 reviews

1 week post op, some advices:

Thanks for the question. In my practice, after performing a BA I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense.  In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling. 

Kind regards

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 227 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.