Unhappy with breast augmentation. What can I do? (Photo)

Your pre op photos show some natural asymmetries that are still present post op. This is expected as placing implants typically will not correct these. It appears that you have had a very good aesthetic outcome, but any concerns should be discussed further with your surgeon. There may be subtle changes that could be achieved through a revision, but i suspect that any anticipated benefits would not justify additional surgery at this time.

Your right nipple-areola complex was already lower than the contralateral side. This was exacerbated after placing the implants. A tight pectoralis muscle is not the reason for any of this. It might be due to too large of an implant and stretching of the nerves that are on that side. When placing an oversized implant, you can also sometimes damage the skin causing worsening scarring. Regardless, these are all my own opinions based on the photos provided. I would recommend seeing a plastic surgeon who has great training and experience in aesthetic breast surgery.

Only an in person exam will be able to tell for sure, however it appears that your left sided implant has bottomed out a bit. This could be fixed by inframammary fold fixation, which should be able to be done from the inside out from the previous incision. You could also perform a right sided scar revision as well if this scar is bothering you.

It's possible things are still tight in there. I would recommend to my patients continued massage of both the breast and the incision and see how things progress over the next 3 months. If not better, visit your doctor again.

Dear Modest736320,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You may have a small capsule that could be improved with oral Accolate and external ultrasound treatments, or released with surgery. Please discuss this with your surgeon.

Dear Modest,
I'm not sure what your expectations were, and/or, who set them. Your results look great so far. The symptoms you describe are not uncommon, and may just be a part of the ongoing healing process for you. You had trust enough in your surgeon to perform your surgery. Keep that trust.

You had significant asymmetries pre-op (your right breast was more lateral and the nipple was lower). These asymmetries still exist and are normal. The pain in the scar may resolve with a month of massages, or even a trial dose of weak steroid injection...if not, it may be revised.
Your breasts look very good and symmetrical. If the right side is harder but not misshapen, I would have to examine you to decide if a capsulotomy (releasing the scar tissue around the breast implant) is indicated.

The knots in the incision are probably dissolvable sutures, you should ask your surgeon. And the sense of tightness is not uncommon, perhaps some gentle massage will help. You certainly don't look to be developing capsular contracture, though an exam is the real diagnostic guide for that. And if you look carefully at the preop pictures, the asymmetry you still have in the nipple position and angulation was there from the start. All BA can do is magnify the starting point you already have so your result looks perfect from that starting point you brought. Your surgeon did excellent work so stick with them and ask all questions to them.