Breast Implants: 1 seems higher and round and the other one seems lower and oval. (photo)

Question

I've had my breast implants for 2 1/2 months One seems higher and more round and the other one seems lower and more oval is this normal

Aldo Guerra, MD · Answer

Hello Kitten. I see the difference between your breasts and I think there's at least two possibilities: In the first, you started out with asymmetry (before photos would help) and you're still having some asymmetry. No two breasts are ever exactly the same and implants do not "correct" asymmetry - they only make it better. Another possibility is that you need to massage more on the higher side and/or wear an elastic breast band to help the implant settle.  A third possibility is that you're having the beginning of capsule contracture. You should see your plastic surgeon so he/she can address your concerns and make an appropriate diagnosis. Best wishes, Dr. ALDO

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. You are still early in the post-operative period. It typically takes 3 - 6 months for the swelling to subside and and implants to settle into proper position. Please discuss your concerns with your board certified plastic surgeon. Also, make sure you follow all of your plastic surgeons post-operative instructions regarding level of physical activity and use of a support bra. Hope this helps and good luck with your recovery.

Dallas Buchanan, MD · Answer

Thank you for your picture and question. Keep in mind that you are less than three months out from surgery and there are still likely some changes that will take place before you are looking at your final result. I would say that based on the appearance in the picture, you have a very nice symmetrical result and you should be very happy. No two breasts are identical, and the goal is not to make them identical......we are making sisters, not twins. Most often, if there are very small differences in appearance after surgery, and you compare this to your pre-op photos, these small differences were there in your normal pre-op anatomy, they have just been amplified by the augmentation. Hope this helps!

Scott W. Vann, MD, FACS · Answer

Your breasts look great in your photo. Any difference in your breasts are not noticeable  to me in the one view. They will not be identical, but address any of your concerns to your surgeon. Good luck.

Mehdi K. Mazaheri, MD · Answer

Thanks for your question.  Based on the one photo you submit I really can't see what you are seeing. They look fairly symmetrical to me. Other photo angles would be helpful in that assessment. Please remember Slight breast asymmetries will always exists post op because 99.9% of patients have asymmetrical breasts to begin with. Dr Maz

Ven Erella, MD · Answer

Thank you for your question. Based on the picture you have very good result and I can not recognize the asymmetry you are describing. Please talk to your PS

Tom J. Pousti, MD · Answer

I am sorry to hear about your concerns but I can not appreciate a significant difference between your breasts based on the posted photograph. Of course, your plastic surgeon will always be your best resource when it comes to accurate assessment. Best wishes.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry and congratulations on your surgery!
It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.
It is important to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is crucial for healthy results.
It generally takes around 6 months to a year to see your final results. Your tissues will take time to relax and allow your implants to "Drop and Fluff" settling into place. Should a revision cross your mind, it is best to wait at least 6 months to a year before doing so. 
Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.).
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Marc J. Salzman, MD, FACS (retired) · Answer

Without a preoperative photograph, it's difficult to ascertain whether this is a magnification of a previously asymmetric breast. If the incisions are just in the crease, and are the same on both sides, then that would be my best guess. If one incision has started to ride up towards the areola, away from the infra-mammary crease, then it may be an early sign of bottoming out. I recommend that you follow-up with your operating plastic surgeon. Best of luck.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  I do see the asymmetry that you mention.  Please check your preoperative photos to see if the right breast and crease  was slightly lower than the left.  It is important to understand that 88% on women have asymmetrical breasts which could explain the asymmetry that you see.  Your result really looks very nice.  Please follow-up with your plastic surgeon for an examination.

Breast Implants: 1 seems higher and round and the other one seems lower and oval. (photo)

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