One breast looks/feels very different - how can this be fixed? (Photos)

It appears that you have had a "donut" or circumareolar mastopexy on the right side. With this procedure there is tension on the areola and surrounding breast. This tension provides the lift. Sometimes the tension will cause the areola to stretch, as has happened in your case. Your surgeon should be able to revise this as he has offered to do. You might also ask him about the option of a more standard mastopexy as you do still have some sagging to both breasts.

If your doctor is stumped, you went to the wrong doctor. The suture he used to control areolar diameter either broke or was never used. Even if a circumareolar reduction/lift is performed, your breasts would've remained asymmetric. That is because your right breast is larger and more saggy than the left, and it needed a true breast lift and possible reduction to match the left. Frequently, the patient is confronted with this information prior to surgery and declines the correct procedure; it is our job as surgeons to either explicitly warn the patient of the potential outcome or simply deny surgery to the patient.

At this time, your breasts and areolas are asymmetrical in volume, shape and position. I recommend explantation and breast lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped upper pole fullness, elevated them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.