Why Are my Breast Still Uneven Post Op After Four Months? (photo)

Hello,

I am sorry you are having problems with your result after breast augmentation.  There are two things at play here that are conspiring against you, giving you your asymmetry.  First, your left breast appears to have been subtly larger prior to surgery. Second, your left breast implant has dropped lower than the right, filling the bottom of the left breast out and projecting the left breast more than the right. This combination accentuates the appearance of your left breast being larger.

I would wait a full 6 months before revision surgery to see if there is anymore settling of either implant.  Based upon the appearance of your breasts then, you and your surgeon can plan the revision.  Possibilities include: 1. lowering the right implant.   2. raising the left implant.   3. combination of 1 and 2   4. Placing a larger implant on the right side (along with previously mentioned pocket adjustments).   5. Placing a smaller implant on the left side (along with previously mentioned pocket adjustments).  As you can see, the possibilities seem endless, that is why you need to wait to determine which path to follow.

By the way, what you definitely don't need is a breast lift of any kind!!!

I am sorry you will have to have a revision surgery.  25% of women have a revision surgery within 3 years of their original surgery, due to problems which includes the ones you are having.  Unfortunately, most of these complications are associated with implants that are too large for their anatomy, and could have been avoided if a process called dimensional planning was used to pick implant size.  Unfortunately, your photographs suggest that your implants (despite being 'only' 300cc) are larger than those that would have been chosen by dimensional planning.  You may want to reconsider your current size when you have your revision surgery.

Best of luck!

Thanks for posting pictures of your before and after.  If your surgeon put the same size implants on both sides, then there is something else that would explain the volume asymmetry.  Most likely you have a fluid collection or seroma.  If so, it can easily be detected by ultrasound and likely drained by ultrasound guidance.  Your surgeon should be able to set this up for you.

 

Good Luck.