Post-op breast lift asymmetry solutions? (Photo)

Hello!  Thank you for your question!  Sorry to hear of your disappointment. Although attempts are made to give perfect symmetry, on rare occasions there may be slight differences and asymmetry. It appears that you have an excellent result, but can appreciate your stated concerns. If these bother you, you should certainly discuss this with your surgeon. At 5 mos postop, your final result is likely seen now. So, the only option would be a surgical revision. This may be done as an in-office revision with the goal to ameliorate your concerns and improve symmetry.  Hope that his helps. Best wishes!  

Dear Cat506,Women’s breasts have some degree of asymmetry. Some may be more noticeable than others. If you have breast asymmetry before breast augmentation surgery, there is a great chance that this will exhibit right after the surgery.If the asymmetry becomes more noticeable after breast augmentation or lift surgery, a revision may be needed to correct the asymmetry. In most cases, the revision involves correction in both breasts. For example, large breasts can be reduced to a more manageable size, but the amount of reduction might differ between each breast if one happens to be naturally larger than the other. The same can be said if a person wants to augment their small breasts to a larger size: one might be augmented more than the other.You should discuss your concerns with your plastic surgeon. Make sure your surgeon understands your goals. Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Breasts are usually not completely symmetrical and often one has a larger diameter that the other. The bases of your breasts cannot be changed. Also, the lower nipple may be due to posture, with one shoulder being lower than the other. I'm sure your surgeon measured the location for each nipple from your sternal notch to be even. In both photos, your lower nipple is on the lower shoulder side. This is not corrected by a revision.

and I'm sorry your surgeon feels otherwise.  There are simple in-office fixes and if you have a scar across the bottom, use it to remove tissue from the larger side to make them or even.  If you like the larger side better, then you're looking at fat grafting the smaller side to help diminish the differences.  So there are simple fixes but this requires that your surgeon appreciate your concerns.  Perhaps you could negotiate with your willingness to post your photos as an online review, representative of your surgeon's work and judgment... maybe that would help him/her appreciate your concerns better.

Thank you for your question.  I am sorry you are unhappy with your result.  I recommend discussing with your plastic surgeon your concerns, getting reevaluated, and exploring possible solutions.  Based on the photos, I can see the asymmetry you describe.  One option would be to place an implant or fat graft in the left breast to try to match the size of the right, and the other would be to try to reduce the right breast to match the one on the left.  These options would likely require another trip to the operating room.  

Dear Cat,Hello and thank you for your excellent question. Based on your photos and description, I think you might be a candidate for a combination of revision and fat grafting to improve your results. This could likely be performed under local anesthesia. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018

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