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Asymmetry and sagging after implant replacement - could it be do to scar tissue removal and can it be fixed? (Photos)

2447anonOct 23, 2025
I had implants replaced 6 months ago after an extracapsular rupture on my right side. Left side looks fine but the right side is much smaller, drooping and hanging much lower than the other side. The surgeon told me this is due to having to remove thickened scar tissue that was giving it support and that now my skin has stretched both above and below the nipple. In other words - not his fault. I was not warned of this potential outcome. My questions are... does this sound like a plausible explanation and also what can be done to rectify it? Prior to my surgery I did not have sagging and would frequently wear no bra. Now I have to wear a support bra at all times and I still feel like my right breast is bouncing around when I go down the stairs etc.

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Dr. Daniel Barrett, MD
Board Certified Plastic Surgeon
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Answered on Oct 30, 2025
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Mustafa Aydinol, MD

I’m sorry you’re dealing with this. From your description (and photo), the right implant likely has inferior malposition (“bottoming out”) or IMF descent—so the fold sits lower and the bra pulls unevenly. This is revisable. How we fix it • Pocket analysis & sizing: measure breast width, ni...

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Gerald Minniti, MD, FACS

Visiting your surgeon would have likely obviated the need to get unnecessary tests and could have diagnosed the issue. Your implants are likely intact and you may just be experiencing implant settling. Go see your surgeon.

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