One breast larger than the other 6 weeks after breast augmentation. (Photos)

I do see the asymmetry you are referring to.  It seems that your left breast is riding higher and off to the side more.  Did your plastic surgeon use asymmetric implants or she use the same size on both sides?  Intraoperatively, plastic surgeons often try to balance the two breasts by going larger on the small size and smaller on the larger side with saline sizers prior to the actual silicone implantation.  It may be that the options for asymmetric breast implants showed no better result, and therefore your surgeon used the same size implants as a reasonable alternative.It is also possible that an in person exam would demonstrate that the volumes of the two implants are the same but the positioning is slightly different because of the left breast implant is farther from the midline than the right breast implant which matches the nipple position and also gave you a great cleavage.Of course, it is also possible that the left implant has not dropped and fluffed yet.  At this point, I suggest an open and honest discussion with your plastic surgeon, and it may turn out that she did the best possible implant choices for the two breasts based on anatomic and implant manufacturer variations.Remember, the two breasts are always sisters and never twins.

Six weeks after augmentation there is still some residual swelling and the implants have not completly settled. I have my patients massage during this time to help facilitate this. I usually do not make final conclusions about position and symmetry until three monts post op, and wait till then to make corrections. Breasts are not typically totally symmetrical before augmentation, and asymmetries can sometimes be made worse by augmentation.

Based on your preoperative photographs, it appears that you do have a mild volume as well as shape asymmetry. There is an asymmetry in the fold position as well as the asymmetry of your volume. Typically swelling should be equivalent on both sides and should be resolved at about the same rate. In some instances it may be appropriate to use different sized implants to correct these asymmetries. Other options down the road might include fat grafting to the smaller breast. Hope this helps. Good luck.

Thanks for posting your question.  Based on the photo it appears that one breast is slightly larger, similar to the preoperative appearance.  It is not uncommon for one side to be a tiny bit larger but otherwise the shape looks normal.

Hello, its normal to have some asymmetry before and after breast augmentation. Things are still healing and settling so you still have to wait on the final result. I would discuss this with you PS as other healing factors can effect the long term appearance to your breast. Good Luck.

While it seems like 6 weeks is a long way out from surgery, we typically don't say much about symmetry for the first 6 months. You'll consider to get more symmetry as swelling resolves and the implants settle into position. Be careful about doing too much with your right arm (most patients are right handed and it's easy to overdo it in the early postop period). Good luck.

Thank you for your question and providing photos. It would be helpful to know the size and profile of the implants that you have. It does appear your right breast is larger than your left as it was pre op. If the same size implants where used this difference will persist. I tell all my patients it takes 4-5 months for implants to fully settle and all your swelling to resolve. I would recommend patience and discuss your concerns with your PS. Best of luck

You have a very nice result but can expect more changes through the first 3 to six months. By the photographs, it seems like you do have asymmetry of volume, in some of this may look less obvious as time goes on. Sometimes we put in two different sizes of implants to match the volumes as good as possible. Matching breast volume as close as as possible is one of the main things plastic surgeons concentrate on in the operating room.

Thanks for your question and the photos. You are still early to consider making adjustments. It takes about 6 months before the tissues fully relax. Even in the best case breasts will be different. We call them sisters, not twins. Dominant side is often fuller because the muscle tends to be thicker on the dominant side. Other factors such as the shape of your chest wall and starting volume affect the size and appearance as well. Continue to be guided by your PS. Only when the tissues have fully relaxed will you get a clear picture  of what if anything needs to be addressed.Best wishes.

Thanks for your inquiry and pictures.  It is early in your result. Your left breast implant is higher and does not appear to have fluffed.  Please ask your surgeon about massaging the left breast, good luck.