Breast augmentation unevenness - how can I achieve a more symmetrical look? (Photos)

Question

37 year old female, 5’ 9” 140lbs, 3 previous pregnancies and breastfed all 3. Had breast augmentation done the end of May so currently coming up on 7 months post op. We decided on 350cc gummy bear silicone, moderate profile, partially under the muscle. Included are images of me before, right after procedure and today. Immediately after I felt the left side was a bit higher but know things heal at different rates and one side can take longer. Well at 7 months I was hoping they would have been more even (did not have asymmetry prior). One side appears too low while the other too high. They are both soft. My concern is about pocket size? Was one created too large which caused the implant to sit lower and also allowed for so much rippling so soon after. What would your recommendation be moving forward to achieve a more symmetrical look?

Ram Kalus, MD, FACS · Answer

Thank you for your questions and photos. From the pictures alone it seems your implants are a bit op high for the proper aesthetics. If you are happy with the size of your breasts, then the implants should at the very least been downsized.

Daniel Barrett, MD · Answer

Dear Compassionate526911,

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

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. Breast assessment requires an in-person examination, however from the photos and based on the fact that everything is soft, it seems that you have implant malposition. This requires surgical revision in order to allow adjust the capsule on both breasts and allow the implants to be in a better position, including moving lower on the left. 
I wish you the best. 
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Emily C. Wirtz, MD · Answer

While you may still see some changes even 9-12 months following a breast augmentation, the asymmetry of the upper pole between the breast does raise some concerns regarding an early capsular contracture on the left. The other possibility is that there was incomplete release of the muscle on the left side, and that is holding the implant in a higher position. The fold is slightly lower on your right side, even in your preoperative photographs, and this may account for the slightly lower position of your implant on the right side. I recommend you have an exam by your plastic surgeon to determine whether there is a mechanical issue before embarking on any other corrective procedures.

Breast augmentation unevenness - how can I achieve a more symmetrical look? (Photos)

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