75cc difference in breasts. Will it even out?

A difference of 75 cc is indeed rather large.  The only way to tell if this is appropriate is to be in the operating room.

At one week out there is still a lot of swelling.  One side can be more swollen than the other.  Try and be patient and not look at them too closely for 3 months.  At that time you will likely be looking at something more similar to your final result. Best wishes. 

It's much too early to worry about perceived asymmetries after breast augmentation. The volume difference can be worked out in anticipation of the operation by some available sizing systems.

You are very early in your healing phase and have not yet achieved your final look. Be patient, ask your surgeon these questions, give yourself time to heal, and let the implants settle and the swelling subside. You might decide that you love your new look.

Hello! Thanks for your question.It is not uncommon for women to have uneven sized breasts, and although I would say it's more common that I use the same size implants when doing an augmentation, it is certainly not uncommon to use two different sized implants to match the breast size as perfectly as possible. I'd say it's most common to use implants just one size difference (25cc's), but it's not rare to use implants two or three sizes different (50-75cc's) to get that perfect match.I can't speak for how your surgeon chooses implant sizes during surgery, but plastic surgeons tend to be a precise lot, and I would think that he/she does something similar to my protocol - I have a very good idea of what size implant the patients will need based on the pre-operative consult. Once I do the dissection part, I use a silicone sizing implant to place in the patient, and then I temporarily close the incision and sit the patient completely upright on the bed to see how the breasts will look while standing. This allows me to not only see the change in shape, but allows me to compare the shape and size of one breast to the other. If I think the patient needed a different sized implant on one side, I use a few implant sizes to see which one gives the absolute best match in size and shape. One the final decision is made based on the sizers, I then have the OR staff open up the permanent implants which are then placed after the sizers are removed and the pocket is thoroughly washed out with a triple antibiotic solution.With this method, I know I am getting the absolute best match in shape and size that is possible. I would think that your surgeon uses some similar method to ensure the best results.As for how you look now... at one week post-op, you are absolutely expected to have some swelling in your breasts. This swelling can vary from side to side, so even if you were matched up perfectly in the OR, right now you very well could look quite different from one breast to the other. Over the next few weeks, your swelling should resolve and your final result will start to take shape.If you have concerns, the best thing to do is talk with your surgeon at your next follow up appointment.Hope this helps.B Hermann MD

You are very early in healing.  Let Mother Nature do her work and likely you will be pleased.   You cannot make early judgements and worry.   Go see your ABPS certified surgeon.    My Best,  Dr C