Did one breast drop and the other didn't? (Photo)

Question

I'm 4 days post op. I know it's very soon, but I can't help but wonder if the reason why there's such a significant difference in size is because one has dropped a bit more than the other. My post op appt is in 2 days, but I just want some insight to ease my mind until them. Or I guess more of clarification? Both are 350cc Sierra smooth round hp

Paul M. Parker, MD, FACS · Answer

Swelling is usually maximal at around 4 days postop. It is common to see more swelling on one side and for asymmetries to be present at this point. Over time, as swelling subsides, the breasts typically become more symmetric. You should discuss your concerns with your surgeon at your next visit and seek their re assurance that things are on track.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures you have a significant volume discrepancy. Either you have a damaged implant or you have a significant chest wall deformity/concaviyy that makes your implant look smaller. Please discuss this with your plastic surgeon at your follow up.

Vincent N. Zubowicz, MD · Answer

I doubt you will achieve asymmetry with time.  I think you will need another operation to lower the left implant.

Don W. Griffin, MD · Answer

You definitely have some asymmetry. This may improve with time as you are early postop. Based on your photos, you probably had asymmetric breast folds prior to surgery which will affect your results. As mentioned, a strap may help the right breast settle. An alternative I have used is to have women wear a sports bra and pull the bra over the right breast so it is only pushing down on one side.Continue to follow up with your surgeon. Don't consider revision for a few months to allow them to settle.

Ram Kalus, MD, FACS · Answer

It is very early and it does appear that your right implant position is a bit higher than your left. Since you are seeing your surgeon in two days, that's a good thing. If we were seeing you in the office we would probably recommend wearing a bandeau which is an elastic that wraps around you and sister above your breasts and exerts gentle downward pressure. In addition, some gentle massaging in the downward direction will almost certainly help bring the implant down, but do not do this without explicit instructions from your surgeon. Hopefully this will straighten out on its own, but I would recommend a continuous close follow up with you surgeon. Good luck.

Richard H. Fryer, MD · Answer

Thank you for your question.  You are right, it is very soon after surgery, and it is too early for you to worry about positioning.  Between swelling and the positioning of the implants, it can take 3 to 6 months for most patients for the final result and positioning.  It looks very normal for this soon after surgery.If you would like more information regarding breast augmentation, you can download a free copy of my breast augmentation planner at ABetterBreast.com.Best of luck to you.

Thomas Trevisani, MD · Answer

4 days post-op- is too early to panic. One implant is a bit higher- however with time it should change-- takes several months. Make sure to follow all the post-operative instructions and follow up with your surgeon on the regular basis.

G. Robert Meger, MD · Answer

Sammie 4 days is way too early to begin worrying about your result!  One implant is clearly higher than the other at this point but this is very common only 4 days after surgery.  It can take 6 weeks or longer for them to settle.Keep your postop appointment with your surgeon and try to relax!  They will look much better soon.Best of luck to you!G. Robert Meger MD

Jacob Freiman, MD, FACS · Answer

Yes. This is completely normal and you can expect to have an excellent result based on your photos. I tell my patients to expect at least 3 months before they appear more normal and some patients up to a year. You can expect one implant to drop and then a month later the other one. Best to follow up with your surgeon.Good Luck!!!

Connie Hiers, MD, FACS · Answer

It is not unusual for the two breasts to not look exactly alike, especially early in the healing process. I would suggest meeting with your surgeon and discussing your concerns. You might have been asymmetrical before surgery and not paid much attention to that. With time, your breasts should settle.  Ask your surgeon about exercises that can be done to help settle your implants.

Did one breast drop and the other didn't? (Photo)

Answers (12)

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