Will scoliosis prevent my breast augmentation from appearing symmetrical? (photos)

Thank you for
your question.

A severe form of
scoliosis could have definitely magnified breast asymmetry after breast
augmentation, however, because you have mild scoliosis (15 degrees), it should
have a very low impact on the outcome of the breast augmentation. Similarly,
breast augmentation should not worsen your scoliosis either as implant devices
have a relatively low weight.

In general
scoliosis and irregular spinal curvature may cause frontal rib-cage
asymmetries, nipple asymmetries, changes in the breast skin envelope, and these
differences can appear more obvious with breast augmentation, but currently,
your breasts have achieved volume symmetry because you only have mild scoliosis.

Your surgeon may
have taken any asymmetry into account during the pre-surgical assessment of
breast characteristics.

You may feel that
scoliosis may cause the implants to drop asymmetrically and at different rates,
but it is not uncommon for breasts to heal and adapt to implants at
different rates even in patients without scoliosis. You should be ready to
accept any asymmetries that existed before surgery as those cannot be corrected
with breast augmentation.

According to your
pictures, I believe your breasts are coming along really well. Implants
initially do sit high up because the chest muscles and surrounding breast
tissues have not become accustomed to the implant resulting in tightness. You
have to allow gravity to take effect, and overtime, natural tissue expansion
will allow the implants to fall into place causing your breasts to appear more
natural, softer, and rounder. Once that happens, the implant will sit directly behind
the breast tissue in a natural 45:55 breast ratio.

You will reach final results within 3 to 6 months. If the
breasts still appear different at that point in time, then you may share your
concerns with your surgeon and they should be able to fix the problem.

For now, you should rest, heal, and maintain strict
follow-up with your board-certified plastic surgeon to make sure your breasts
heal well and remain aesthetically beautiful.

Hope this helps!

Thanks for your inquiry and excellent pictures. Some of the asymmetry you see now is because it is early after surgery and each breast recovers differently.  All pre-existing asymmetry in breast, limb, spine, posture, etc will influence the final result.  As for your final result, only time will tell in 3-6 months.  Please discuss your concern with your plastic surgeon. 

Scoliosis will likely affect you breast symmetry. With good planning and the appropriate breast implant sizes, then asymmetry can be minimized and your outcome will be better breasts than before surgery. Best, Dr. Aldo

Asymmetry is not only common but is normal.  The goal for surgery is to make them look similar.  Remember that some obvious asymmetry is not noticeable to the untrained eye.You are still in your early postoperative phase after breast augmentation so be patient wait at least 3-6 months before you make any judgment.  I feel that you have great results.Best Wishes,Nana Mizuguchi, MD

Good Afternoon! Great question! First of all you should know you can always consult your questions with your plastic surgeon, I'm sure she/he will be happy to help you in the post-surgery care and doubts. It's important to know that scoliosis could affect the final result and symmetry of your breast augmentation, this should be evaluated before your surgery and take into account when estimating size of implants to be placed on each side  . However it's too soon to know as you should wait at least 3 months so see the final position of your breast, by this moment is completely normal that they drop a little.