6 months post-op, should one breast be larger than the other?

Asymmetries after breast augmentation are to be expected. Sometimes enlarging the breasts highlights asymmetries that existed before surgery. Now that your breasts are larger (especially with an implant that large) more people are looking and therefore the size difference may be more noticeable. One other thing to consider is if you have a seroma (fluid collection) around one of the implants.  That is a recognized complication of textured implants especially if there was any amount of hematoma around the implant to begin with.

I appreciate your question.

At 6 months, all of the swelling should be resolved.  If you are unhappy with your results, best to meet with your surgeon to discuss a revision or seek a second opinion with another board certified plastic surgeon.



The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!



Dr. Schwartz

At 6 months, most of the swelling should have resolved.  If you have asymmetry at this point, you may want to consider a revision.  It is true that some asymmetry is to be expected, even after breast augmentation.  A revision could be as simple as increasing the size of one of the implants.  Other procedures such as a breast lift or fat grafting may be necessary to achieve the symmetry you desire.  Without examining you or at least seeing photographs, it is not really possible to advise you further.Aloha,Shim Ching, MD

Sorry to hear that you are having problems after your surgery.  It will be difficult for any surgeon other than your surgeon to determine why you might be having the asymmetry without your before and after photos.  Most women have breast size or other asymmetries prior to surgery that can go un-noticed by you until you are really looking at your breasts more critically.  Unless you had different sized implants placed during surgery, the size after should be equal.  Other problems that can affect the size or appearance would be a fluid collection or seroma, capsular contracture or malposition of an implant.  Best of Luck, but would start by looking at your before pictures which would show you how symmetric or asymmetric your breasts were before surgery.

Thank you for your question, and I am sorry that your breast augmentation results have not been what you anticipated.  I would definitely continue to voice your concerns with your physician.  Assuming normal healing, the only way that an asymmetry in volume could exist is if different sized implants were used in your right and left breast.  Normally different sized implants are used when there is a beginning size asymmetry.  You may also wish to obtain a second opinion if you are not getting the answers you want

Thank you for your question. Typically at 6 months your results will not change significantly and the amount of breast swelling is minimal. If there is a significant size difference it could be related to your pre operative anatomy and failure to account for this with different sized implants, or you may have a fluid collection around the implant, known as a seroma. I would discuss these concerns with your surgeon and see if he/she has an explanation and more importantly a plan to try and improve your results. Best Regards,Dr. Stutman

Pictures
allow for a better evaluation of your current situation. Please be so kind as
to resubmit with photos from the side views of each side and from the front.
Ideally, have someone else take the photos so that you can rest your arms at
your sides.

Having said that, you may want to look at your before pictures and speak to other plastic surgeons.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Plastic Surgeon

I'm sorry you are having this experience.  One good measure would be to do a comparison of your before and after photos.  You can also find out if you had two different size implants placed at the time of surgery.  Another possibility is that you might be developing some early capsular contracture which might be pushing that implant up on your chest and making it "look" bigger.  All of these things are possibilities, but close follow-up with your surgeon is really the best advice.  If there truly is an asymmetry, then you might need to consider the possibility of re-operation in the future.  Best of luck!

Sorry to hear that you are frustrated with your result.Without having seen your pre-op and now, I cannot make any judgement.Please look at your pre-operative photos and see whether you had asymmetry.If you are unhappy with your differential size, you may need implant exchange.Please convey your concerns to your plastic surgeon and see whether a different implant size can achieve a better symmetry for you.Best regards.

A happy patient is easy to deal with, an unhappy patient is not. If you are not happy with your results, you need to go back and let the surgeon know about it. Tell this surgeon you will blog on social media about him/her and give Google + rankings that he will not be happy about.  That will get his attention.  Good Luck.