Is asymmetry and shape normal 1 year post op? Will I need a revision? (Photo)

Question

Is asymmetry and shape normal? One year after my breast implant surgery, I've lost a lot of weight in recent months. I don't feel any pain

Daniel Barrett, MD · Answer

Dear Luminous670880,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical in volume, shape and position. Your nipples are at different heights. Your implants are wider than your chest wall and are mechanically unstable. You would benefit from smaller implants and a revision with possible lift. You will need the capsules plicated laterally to prevent the implants from dislocating laterally.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  You have developed some mild to moderate breast asymmetry.  Your breasts are still very attractive.  The question is whether you are submuscular or subglandular.  Implants placed on top of the muscle tend to descend much more quickly after surgery.  At some point, you will need a revision to improve your symmetry.  I would recommend an internal bra/capsulorrhaphy versus repositioning under the muscle and possibly breast lifting.  There certainly is no rush.  Best wishes to you.

Alejandro Nogueira, MD · Answer

Asymmetry is normal, no woman ever had equal breast and total symmetry is non achievable with plastic surgery or other methods.

Your result con be much better, criticisms:
-implands exceed by far the maximun horizontal sizing available in your chest, hence showing side protrusion
-they are eccentric from the nipples
-they are round profile prostheses, hence looking fake
-they seem to sag (bottoming out) due to poor fixation to the ribcage, maybe they are smooth or nanotextured?

I recommend:
-chossing better implant width, customized to your chest (as large as you wish, but the with taylored to you)
-anatomical shaped prostheses
-polyurethane coated implants if you wish to guarantee their fixation

Is asymmetry and shape normal 1 year post op? Will I need a revision? (Photo)

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