My boobs are uneven and I am 4 weeks post op, should I be worried? (photos)

I am sorry to hear about your concerns. Based on your photos, your breasts appear normal for this stage of healing. It can take several weeks to several months for the breasts to fully settle and it is not abnormal for them to settle at different rates. In my own practice, I advise patients to use massage techniques to help ensure that the implants drop. I would recommend contacting your surgeon to address these concerns as well, as he or she is most educated on your particular case. Best of luck with your recovery.

Thanks for your inquiry,  ask your surgeon about massage and/or wearing a bandeau for the higher breast implant, good luck.  

Nothing to be worried about! You are early in the healing process and things will drop and settle on there own with time.  When you return to see your PS discuss this with he or she and they may have massage directions for you.  Best of luck! 

Dear axe21,I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process at 4weeks  post op.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It is still very early postop and as the implants drop and soften and the skin stretches things will improve.

Your result so far looks excellent and the degree of asymmetry is objectively rather minor compared to many patients. In this case it is best to be patient and give yourself several months for the implants to reach their final positions; only then can you and your surgeon judge whether the asymmetry is significant and whether you want to consider revision. Without seeing your preop photos it is also hard to tell if you had some of this asymmetry preoperatively, as many patients underappreciate the degree of asymmetry present before they are operated on, only to later judge their result with more scrutiny because they are checking themselves so frequently. Discuss your observations with your surgeon on your followups and be patient.

Hello and thanks for your questions and photos.  Breast implants can take up to 6 months to fully settle into position based on multiple factors.  One of the primary factors for initial asymmetry is that whatever hand you use more (depending on whether you are right or left-handed) it can cause differences from the other side.My best advice is to continue to follow your surgeon's advice and attend your scheduled follow-ups, and let time be your ally.  
Best wishes during your recovery!Daniel Brown, MD, FACS Board Certified, American Board of Plastic Surgery Member, American Society of Aesthetic Plastic Surgeons Member American Society of  Plastic Surgeons Castle Connolly Top Doc Real Self Top 500

Hi Ms Axe21,
I am so sorry that you have been understandably worried about your results so far.  You are in the early postoperative period and having this type of asymmetry can occur at this time. It is important to follow the instructions that your surgeon has given you. I usually have my patients perform implant displacement excercises along with a band that is placed on the upper part of the breast so to encourage the implants to drop. What causes this is swelling of the soft tissues and the muscle and over time as this resolves and with the guidance of your surgeon, the appearance should improve. I hope this helps. Take care.