I’m 5’4” and 117lbs. I had breast implants placed in 2020. I sought my doctor because his results were pretty. To my dismay mine were not. I asked about went wrong and it was attributed to my anatomy. Is it fair to be disappointed with my results and this doctor? His plan for surgery was to place one higher slightly higher than the other which did not help in the end.
Answer: Uneven breasts after augmentation Hello! Your asymmetry after augmentation may be partially attributed to your asymmetry/anatomy before your surgery. You have have a bit of scoliosis (L shoulder higher than R) and your breast creases may also be a bit uneven (nipple position preop higher than right). This can be corrected during the augmentation within reason; i.e. dropping your fold on the L. You still may be able to revise your augmentation and perform a capsulotomy on the L to drop the implant while performing a small R areolar crescent lift to give you better symmetry. Keep in mind that the nipple position moves in the opposite direction of the implant...as the breast implant comes down the nipple/areola goes up! Good Luck!
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Answer: Uneven breasts after augmentation Hello! Your asymmetry after augmentation may be partially attributed to your asymmetry/anatomy before your surgery. You have have a bit of scoliosis (L shoulder higher than R) and your breast creases may also be a bit uneven (nipple position preop higher than right). This can be corrected during the augmentation within reason; i.e. dropping your fold on the L. You still may be able to revise your augmentation and perform a capsulotomy on the L to drop the implant while performing a small R areolar crescent lift to give you better symmetry. Keep in mind that the nipple position moves in the opposite direction of the implant...as the breast implant comes down the nipple/areola goes up! Good Luck!
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December 3, 2023
Answer: Breast augmentation results Dear nicoleolsen220, 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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December 3, 2023
Answer: Breast augmentation results Dear nicoleolsen220, 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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November 20, 2023
Answer: Slight asymmetry Hello from Istanbul, I understand your frustration. A potential solution to improve symmetry could be to slightly lower the left intramammary fold. However, this asymmetry is not very pronounced, so if you prefer, you can consider addressing it later in life, especially if you're hesitant about undergoing another surgery at the moment. Best of luck to you.
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November 20, 2023
Answer: Slight asymmetry Hello from Istanbul, I understand your frustration. A potential solution to improve symmetry could be to slightly lower the left intramammary fold. However, this asymmetry is not very pronounced, so if you prefer, you can consider addressing it later in life, especially if you're hesitant about undergoing another surgery at the moment. Best of luck to you.
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November 17, 2023
Answer: Uneven breasts Thanks for your question! I can see why you are frustrated, but I think it's important to point out a couple of things you may not notice. Your inframammary fold was lower on the one breast than the other even in your pre-op photo. Most importantly though, your shoulders are at a very different height. I wonder if perhaps you have a bit of scoliosis. These things should have been noted prior to surgery. I do think that you could benefit from a capsulorrhaphy on the one side to improve symmetry. Good luck!
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November 17, 2023
Answer: Uneven breasts Thanks for your question! I can see why you are frustrated, but I think it's important to point out a couple of things you may not notice. Your inframammary fold was lower on the one breast than the other even in your pre-op photo. Most importantly though, your shoulders are at a very different height. I wonder if perhaps you have a bit of scoliosis. These things should have been noted prior to surgery. I do think that you could benefit from a capsulorrhaphy on the one side to improve symmetry. Good luck!
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November 16, 2023
Answer: Asymmetry after a breast augmentation It is hard to raise a breast so we typically will lower the breast that starts out higher. We do this by lowering the breast fold (the infra-mammary crease) which could have been done in your left breast. For small differences I usually don't lower the fold because lowering the fold is not without its own set of problems so if it is a small difference I usually will inform the patient of the asymmetry and agree to leave it alone and accept the small, normal difference in breast height. This appears to be the case in your situation where the left breast started out higher than the right but not a big enough difference to take the risk of lowering your left breast. However, I think it looks like a much bigger difference in your breast height now in these photos and when you are looking in the mirror because of your underlying skeleton. In all photos but especially in the two after photos your right shoulder is significantly lower than your left shoulder and it drops your right breast and makes your breasts look like they are off much more than if your shoulders were even. I would not try to lower the left breast fold to compensate for your shoulder discrepancy for reasons I mentioned above.
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November 16, 2023
Answer: Asymmetry after a breast augmentation It is hard to raise a breast so we typically will lower the breast that starts out higher. We do this by lowering the breast fold (the infra-mammary crease) which could have been done in your left breast. For small differences I usually don't lower the fold because lowering the fold is not without its own set of problems so if it is a small difference I usually will inform the patient of the asymmetry and agree to leave it alone and accept the small, normal difference in breast height. This appears to be the case in your situation where the left breast started out higher than the right but not a big enough difference to take the risk of lowering your left breast. However, I think it looks like a much bigger difference in your breast height now in these photos and when you are looking in the mirror because of your underlying skeleton. In all photos but especially in the two after photos your right shoulder is significantly lower than your left shoulder and it drops your right breast and makes your breasts look like they are off much more than if your shoulders were even. I would not try to lower the left breast fold to compensate for your shoulder discrepancy for reasons I mentioned above.
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