One implant looks bigger than the other - is there something wrong with my 6 year old implants? (photos)

Question

Hello, i just want to know if there is something's wrong with my implants or no.. Had the implants on January 2017, one of them is 400cc, and the other one 375cc. One is always looks bigger than the other. But i would like to know if there is somehow somthing wrong with them. I didnt have any pain etc. how does capsular contracture looks like ? Do i look like i have that or no? I need answer, please. Thanks

Daniel Barrett, MD · Answer

Dear Jojowonderland,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question. Difficult to offer advice without seeing "before" images as well as an in-person examination of your tissues.  I would recommend seeking out in-person consultations to get the best advice, such as upsizing your smaller side.

Donald R. Revis Jr, MD · Answer

Good afternoon,
I see the difference but don't think you have anything really wrong because you don't have any symptoms of capsular contracture or bottoming out. I believe it is just normal aging of your augmentation. If it bothers you enough then surgery could correct the asymmetry using new, different sized implants.

Connie Hiers, MD, FACS · Answer

Since you have two different sizes of implants, your breasts are not equal in size. You may have some capsular formation, or have lost or gained some breast tissue from weight changes. If you are concerned, please visit with your plastic surgeon.

Fulvio Correa, MD · Answer

Dear Jojo,A capsular contracture makes the breast feels more thight, more hardy. You can make a breast ultrasound just for verify the well-being of the implant. Greetings.

Melissa Marks, DO, FACOS · Answer

Hi, Your breasts do look asymmetric. Capsular contracture can occur when scar tissue around your breast implant gets thick and tight. It can lead to distortion of the breast, visible abnormality, and pain. If your breasts are changing in appearance you should have your plastic surgeon evaluate them and also consider an MRI if you are concerned for a breast implant rupture.

Camille Cash, MD · Answer

If you are not experiencing pain or tightness of the breast this may not be capsular contracture.  I encourage you to visit with a board certified plastic surgeon for an examination.  Seeing your before photos would be helpful.  Typically the 25cc size difference between your implants is not obvious once in the body.  I've included a video about capsular contracture that I hope you find helpful.

Brian Widenhouse, MD · Answer

It does not appear from your photos that you have a capsular contracture. Usually, patients who have contractures experience pain/discomfort. If you are experiencing any issue, I suggest you contact your plastic surgeon for an appointment. 
Best of luck!

Douglas Taranow, DO, FACOS · Answer

Dear Jojo,
Pre-op photos would help in determining what is actually causing your asymmetry.  It appears that the higher breast would benefit from a revision procedure where some of the scar tissue (capsule) is removed to reshape and lower the breast.
Best wishes.
Dr. Taranow

Douglas J. Raskin, MD (retired) · Answer

Greetings Jojo,
Six years after your breast enlargements, you feel there is a size difference.  No pain noted. Shapes, size differences, and positions may be related to pre-existing breast asymmetries. The current photos do not help resolve your concerns, since what you need is a visit to a qualified, certified plastic surgeon for an examination and consultation.  This should help give you peace of mind and direction if you need  any further care.
Best Regards,

One implant looks bigger than the other - is there something wrong with my 6 year old implants? (photos)

Answers (10)

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