Have my implants dropped at all?-Nipples STILL asymmetric! (Photo)

2 Weeks ago I posted a question regarding my asymmetric nipples following my augmentation. I am now 5 weeks post-op, my nipples are still very uneven. My surgeon said the asymmetry was normal, I feel like my implant has not moved at all. In 2 weeks I am going to see a different surgeon. Judging by the photos, do you think my implants have made any progress? Also, I previously said I had saline implants by accident, they are silicone (cohesive gel), high profile, over the muscle, 340CC.

Doctor Answers 9

Nipple asymmetry after breast enlargement

Thank you very much for your message and enclosing your photographs.

It does look from the photographs as if you are slightly asymmetric with your right nipple being slightly higher than your left.

It is difficult to say whether this will continue as we are not sure if the left nipple has always been slightly lower.
I think the right implant does need to drop a little bit and I would definitely discuss this with your surgeon as some surgeons recommend massage techniques to speed the lowering of the implant.

I think it would certainly be worth scheduling a consultation with your surgeon to discuss the best way forward for you.

Best wishes.

London Plastic Surgeon
4.9 out of 5 stars 148 reviews

Breast Augmentation

Hi Erica,
Keep your surgeon in the loop and go in frequently.  If you do see a second consultation, bring all your preop photos with you.  Our implants in some cases drop over a period of 6 months.  All the best,

Joe Gryskiewicz, MD, FACS
Minneapolis Plastic Surgeon
5.0 out of 5 stars 269 reviews

Nipple asymmetry

It is always good to look at your prep photos and see what the breasts looked like before implants. It is likely that the left nipple areola complex was lower than the right. Best to follow with your surgeon over the next few months.

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

Asymmetric nipples

Thank you for your pictures. I agree that you have significant asymmetry to your nipples. I still await a total of three months before making any final judgments. I suspect that you will need a revision. This most likely will be a mastopexy of the left breast.

Breast implants will continue to drop for 6-12 weeks

Thank you for your question.  Congratulations on your excellent photography and keeping track of your progress.

Based on your photos there has been some progress although the left nipple still looks low.

My guess is that there was an asymmetry preop and the left nipple was lower and possibly the breast was narrower.  In this situation it is very common that the implant drops more slowly on that side.

I think it is important that you ask your plastic surgeon or the new surgeon that you see about wearing a pole wrap and doing vigorous breast implant displacement exercises to encourage the left side to drop.

If after 3 months you've made no progress then it is possible that a small breast lift on the left side and revision of your breast implant pocket may solve the problem.

Have my implants dropped at all?-Nipples STILL asymmetric!

Thank you for the question and pictures. You have done a nice  job with the photographs taken at different time intervals. I would agree with you that there does not seem to be much progress made in the 2 week time interval; however, keep in mind that it may take several months for breast implants to fully settle in some cases. It would also be helpful to see preoperative photographs, to determine how much breast asymmetry was present preoperatively;  viewing these photographs will allow your plastic surgeons to determine whether additional maneuvers may be necessary down the line to  improve your breast symmetry. Most of the time, these types of breast asymmetry concerns can be improved upon, surgically if necessary, by lowering the higher riding breast implant. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 reviews

Asymmetry at 5 weeks

Thank you for the question and photos.  You do seem to have asymmetry with your nipples but this is not uncommon during the recovery stage after surgery.  It could take a good 4-6 months for implants to fully settle so it would be best to wait it out.  Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 90 reviews

Wait 3-4 months before assessing results

Wait for three to four months after surgery then assess your results. You may need to wait for the drop to complete, although it's hard to say how much it will drop.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Re: Have my implants dropped at all?-

Thank you for your question, and images.

At 5 weeks patients should begin to see more symmetry and softening. 
Since these implants where placed above the muscle the initial post-operative
settling dynamic is not as much of an issue. 

In such cases with our patients I begin measuring after the first four weeks and look for changes over the next three to four months.  Typically with regular massage, and patience I find that the improvements can be significant- thus avoiding the need for an adjustment procedure. 

Hope this helped.

Thank you,

S. P. Maggi, MD, FACS
Austin Plastic Surgery Center

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.