Is this normal to look like this 9 days post op? I had silicone 325cc under the muscle. (Photos)

Question

I know I am very early, and need to give it time, but I did not see anything like this online before. My right side is a lot higher than my left side and they look so much different as far as the shape. The difference is crazy and neither side looks good( I did work out a lot before the surgery and have strong muscles. Can it be the reason why?

James H. Rogers, MD · Answer

At nine days after surgery, there is still a lot of swelling and the implants have not settled into place. Some degree of asymmetry is also to be expected. That said, your photos show much greater asymmetry than is typical I would be concerned about either a collection of blood(hematoma), or fluid (seroma). I would recommend having your surgeon evaluate you as soon as possible.

Stephen T. Greenberg, MD, FACS · Answer

Hi there and thanks for your question and photos! I always tell my patients that your breasts will be high, hard, and ugly right after a breast augmentation.  It takes a few weeks to a few months for the implants to settle. Sometimes they settle at different rates and one may take longer than the other to drop.  I recommend seeing your plastic surgeon for a routine follow up. Best of luck!

Luis M. Rios Jr., MD · Answer

Thanks for the photos. They really help a lot.
Yes, your swelling and shape is normal after nine days from a breast augmentation.
It always takes at least six weeks for the skin and muscle to soften up and the implants to settle. Every patient goes through this process. Also, remember that one side can drop quicker than the other side.
The differences you are seeing are probably due to the differences you had before surgery. Your right breast was higher and tighter than your left breast, so it is not unexpected that you are finding the same shape immediately after surgery.
The good news is that your breasts are going to change dramatically over the initial six week period. Looking at your photo, you should get a nice result. 
For now, follow your plastic surgeon's advice regarding massaging and breast straps. 
Patience will benefit you.
Good Luck!

Ira H. Rex III, MD · Answer

I think it is important for you to see your plastic surgeon soon. This is definitely more asymmetry than I would expect postoperatively. I would your plastic surgeon check it out.

Shahin Fazilat, MD, FACS · Answer

Thank you for your question. It's common for breasts to "drop" at different intervals- ask your PS about wearing a band to help settle the other breast more quickly.

John Michael Thomassen, MD · Answer

The pocket on the higher side does not seem to have been dissected widely enough and has resulted in the asymmetry.  You may need to undergo a revision, as massage will likely not correct this degree of asymmetry.

William Andrade, MD · Answer

Hello, I can appreciate the difference in position of the implants.  Sometimes implants can drop at different rates but if there is a significant difference I'd suggest contacting your surgeon to discuss your concerns.  They will be the best source of advice about the cause the of issue and potential solutions.

Remus Repta, MD · Answer

Thank you for the question and photos.  The higher implant is higher up because of one of two reasons:-tissue is tighter on that side-tissue has been released less on that sideTime (and perhaps a little massage) will help bring that implant down.  How much it comes down will depend on which of the above scenarios is occurring.  If it is the second, and not enough of the tissue go released, a quick revision to do so may be needed later on down the road.  At this time, however, it is early and you will be served well to wait and see how it changes with time.Good luck.Dr. Remus Repta

Jules Walters, MD · Answer

At this point, make sure your plastic surgeon is aware of all concerns.  With that said, swelling can be different from breast to breast and they may settle differently.  I would just give it some time at this point to see if they settle in symmetrically.  Best wishes.

Jeffrey Thaxton, MD FACS · Answer

The right implant is certainly riding high currently.  It may still very well settle into place.  The left seems to be in pretty good position at this point.  Upper pole compression may be beneficial in helping the implant settle.  It is also possible that a revision may be necessary but it is too early to say definitively.  Discuss your concerns with your surgeon and get his or her recommendations.

Is this normal to look like this 9 days post op? I had silicone 325cc under the muscle. (Photos)

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