400cc over the muscle - are my breasts uneven? (photos)

Question

I had my breast augmentation last year and there was always some aysmmetry with my breasts. I had 400cc over the muscle. Do they look badly uneven? I know naturally one is more round, higher and slightly smaller than the other one. Would like a second opinion on how they look, if there seems to be any problems.

Richard Zienowicz, MD · Answer

Hello and thank you for your question. Based on your preoperative photos - there was some pre-existing asymmetry - if you look at the height of your breast creases and the position of the nipples, as well as the overall shape and projection (which way it points) of each breast, I actually think the nipple position, breast crease position, and projection have become more symmetric after the augmentation. There is still some asymmetry, mostly in the fullness at the top of each breast, however overall I think you have a great result. Breasts are never exactly alike, the goal is to get them as symmetric as possible given your natural anatomy and the limitations of surgery. If the asymmetry is bothering you significantly after at least six months (not sure when this was last year), then you can always explore a conservative revision option such as repositioning the implant or perhaps changing the profile or size, however there are pitfalls with revisions - they can cause more problems and are not without risk themselves. Be sure to have a discussion with your surgeon if you are unhappy and they can review the options and risks and benefits with you to make an informed decision. Again, overall, a nice result! Best of luck.

Carlos Marciales, MD · Answer

Hello, all bodies have some asymmetry, never one breast will be exactly the same as the other, we as plastic surgeons it is very important to always look for as much symmetry as possible, but it is impossible for it to be 100% the same, in your case I see a very good result, and very symmetrical

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Nothing replaces an in-person examination but it appears your results are normal and expected based on your starting point.

Farbod Esmailian, MD · Answer

No two breasts are the same and almost everyone has some certain degree of asymmetry. Judging by your before photos (thanks for posting those, helps a lot), you had some mild asymmetries to begin with. Your inframammary folds where uneven as where your nipple/areola complexes. You have a very nice after result and I would say your surgeon did a nice job getting you as even as possible.

Yes some of the asymmetries that you have before surgery are still apparent, but overall I would say you have a very nice results.

Hope that helps.

Yes some of the asymmetries that you have before surgery are still apparent, but overall I would say you have a very nice results.

Hope that helps.

Daniel Barrett, MD · Answer

Dear Ann12398,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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

Ersin Gonullu, MD · Answer

on your before pics you look like left breast is more underdeveloped and significantly higher imf. and after the surgery they look completely natural and more even. so its pretty successful surgery. regards

Peter Andolina, DO · Answer

After looking at your photos I think you have a great cosmetic result after your augmentation. There is some slight asymmetry but it is no different than what you had pre-op and to be honest the difference is very minimal. I would not recommend any sort of revision surgery. Once again you have a great result and trying to achieve perfection may lead to a worse outcome.

Connie Hiers, MD, FACS · Answer

Your breasts are more even now than before surgery. Your surgeon did a good job with just an augmentation. Most (partners) will not notice the difference. If you have concerns, please discuss them with your surgeon.

Camille Cash, MD · Answer

From your photos it appears you have the same asymmetries as you did prior to augmentation.  Sometimes the differences are more noticeable after surgery because of the added volume, in addition to focusing more on your breasts than before augmentation.  Your current photo shows appropriately healed breasts with mild asymmetries.

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

Thank you for your question and photographed.

Your result looks very appropriate an excellent considering your preoperative breast appearance.

On your preop photograph you can see that the right breast is lower and larger than your left breast.  Because the left breast is smaller and higher there is less room for your 400 cc implant to drop normally.

I would expect in time that there will be further dropping of the left implant as your skin and breast relax and adjust to the volume enhancement.

Is important to understand that any preop breast asymmetry will certainly be visible after surgery less extra surgical steps are taken.

400cc over the muscle - are my breasts uneven? (photos)

Answers (10)

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