OK, I won't tell you that your visible breast asymmetry will be fine. In fact, I will be so bold as to predict that you will need re-operation. However, I would NEVER re-operate at 2 weeks post-op for this kind of asymmetry, only for acute bleeding, which this is clearly NOT. I would tell you that you need to wait for at least 3 months (6 would be better).See, you get to wait anyway to see if things will improve or not.But honestly, although it IS too early to tell, textured shaped implants should look more symmetrical than this, and telling you this now doesn't make it any more urgent to re-operate, only that much longer your surgeon and you have to be miserable about it. So be patient and see what happens. Keep in close communication with your surgeon, and don't be angry or blaming--being understanding that your surgeon didn't want this look any more than you did will help preserve a good working relationship if repeat surgery is necessary.And, you should have already known your surgeon's policy for revisionary or touch-up surgery as far as costs go. If not, shame on both of you, because you'd better have that discussion now. I tell all of my patients BEFORE surgery that if they promise to do their best to be compliant with my recommendations, then I will do my best to give them the best operation I am capable of. If they need or request revisionary surgery, I do not charge a surgeon's fee, but they will be responsible for operating room costs, anesthesia costs, and any new implants (if requested). Thus, repeat surgery costs my patients more money--their incentive to follow directions to get their best possible outcome. It costs me time I could have used for a "paying" patient, so repeat or touch-up surgery "costs" me too--I would go broke if all I did was revisionary surgery.But no surgeon is prefect (unless you ask our mothers), and sometimes "stuff" happens that is not a usual part of the healing process, despite everybody's best efforts.I would have used smooth round implants below the muscle in someone as thin as you. And since your right breast was "slightly smaller pre-op" I would have used a slightly bigger implant on that side to compensate. But perhaps you needed a lift and were unwilling to undergo the scars and cost of that procedure. The operation performed is one way to accommodate this issue, but may have not been the best choice. Easy to say now, but either way, you made your choice, and really need to be a patient patient as this declares itself. Hang in there; we're all hoping time will make this better, but no one can or should give you false hope. Best wishes! Dr. Tholen
