One Breast Fuller and Larger After Augmentation

I was 32AA after breast augmentation, and I'm about 2 months post-op. I now have 325ccs mentor sillicone implants (smooth round, moderate plus profile). One breast is fuller and larger at the bottom. I can see the incisions as well. The other breast (right) is smaller. What is your opinion about what is going on? My doctor told me to wear the band and it will drop. Is this going to even itself out or should I be concerned?

Doctor Answers 11

Breasts are still uneven after implant augmentation surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Without photos (pre and post) it is difficult to tell the cause of your breast implant asymmetry. Most likely it reflects pre-existing asymmetry. I have attached a video of exercises if peformed may help the implants settile sooner. Wiat at least 6 months before turly assessing your breast results.

Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Wearing the band and "displacement" exercises may help

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is difficult to accurately assess your situation without a photo. It sounds like you have some postoperative asymmetry after breast augmentation. This is not uncommon in petite patients with very little native breast tissue.

The compression band should help the higher (right) implant to descend. Displacement exercises can also help position the implant as the capsule is forming. Push the breast up 20 times and release...push the breast toward the midline 20 times and release. Do these exercises three times a day for up to the first year after surgery.

Try to be patient. The appearance of your breasts will continue to change throughout the first year. MH

Asymmetry and Post-Operative Swelling

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It's not unusual for patients to note breast asymmetry immediately following breast augmentation surgery. This asymmetry can occur for a variety of reasons but is often related to swelling which takes time to resolve. It usually takes about 4 to 6 weeks for enough swelling to resolve to make aesthetic judgements possible. In your case, it's virtually impossible to make a recommendation without a picture or physical examination.

At three months, the majority of patients are happy with their symmetry and aesthetic result. It's, therefore, important to be patient in the immediate post-operative period. It's also important to discuss these issues with your plastic surgeon. Your surgeon can rule out more serious problems such as hematoma formation, implant migration and other causes of post-operative asymmetry. Hopefully, he can alleviate your anxiety and ultimately make this a better experience for you.

Post op concerns

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The final shape of your breasts will start to look its best approximately three (3) months after surgery. It takes time for the skin and muscle to stretch and relax around the new implant. The breast will often look higher, firmer, and “less natural” in the first three (3) months. It can take up to a year to see your final result. Keep following your surgeon's post op instructions and heal well and evaluate your result after a few months.

Breast and symmetric healing after augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for your question and for sharing your photos. During the post-operative period the breast are swollen, and the breast implants appear in a much higher position. Over time they descend and fills out the lower half of the breast. In addition, it is not uncommon for one breast to be more swollen than the other and may even out with time (unless they were asymmetric in size to begin with). It may take several months for this to happen and can be encouraged with breast massage and compression. It may appear that the breast enlarges as the lower aspect of the breast fills out (at the expense of the upper portion of the breast).

Implant position influences size perception

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}



If one implant does sit a little higher, lower or more to the side than the other, it can appear to be a different size. You are still early in your recovery and the massage exercises can help. Keep in close contact with your plastic surgeon who will follow the progress with you.

Dr Edwards

Time is on your side

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I would disagree that your final volume and appearance has occurred. There is still a very good chance that things will even out with time. I see changes up to 10-12 months after surgery.

One helpful question to ask your surgeon is whether the implants that were used are the same volume. If they are, and you were the same size on each side prior to surgery, the only reason for a difference would be swelling and/or implant position.

It sounds like your implant position might be a little off: this can give the illusion of one side being larger than the other because it is easier to see the fullness on top on the side that is higher. With regards to the position, it should still improve, and the strap and massaging are the only things that help while you wait it out.

Be patient. I'm sure your surgeon will follow through with you until you're both satisfied that you have the best result possible.

I am afraid this is probably your permanent result.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi. I know this is the last thing you want to hear, but I don't think much will change after 2 months. The band will not do anything.

Breasts should look great right after surgery. I don't know why you are not symmetrical. You might have a hematoma or a fluid collection in the left breast. I would do a sonogram to rule this out. Perhaps your right breast was always smaller and no one noticed. Perhaps the implant pockets are not symmetrical.

I would wait another 4 months in the hope that there is some improvement. If you are still unhappy then, you will probably need a revision.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

You need to trust and see your own doctor.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Over the Internet, with no photos, you need to see your own physician and follow his advice. It takes a full three months for implants to settle. If there is an asymmetry, check your pre op photos and see if you started with a difference between the breasts. Other than that, relax and let time heal all wounds.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

I suspect you will always have some sort of asymmetry....

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

i suspect you will always have some sort of asymmetry. That is because you started out so small without significant native breast tissue (i.e. AA) and the implants will usually be a little bit asymmetric as they sit on the chest wall. You do not have sufficient tissue to camouflage this difference since the vast majority of your breast is comprised of the implants. That is one reason why it is impotant to select an implant that fits your native breast. Even a slight difference in ribs shape can have an impact on the appearance of your implants in your situation.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.