10 weeks post-op breast augmentation and asymmetric, what do you think? (Photos)

Question

I am 10 weeks post op breast augmentation and one side has not dropped and is tighter and occasionally sore. My photos are before surgery, day after surgery, 6 weeks post op, and 9 weeks. Do you think I’ve developed capsular contracture, or do you think there was an error in surgery?

Brian K. Reedy, MD · Answer

Hi & thanks for your question!Your implants are dropping and settling at different rates, which can be completely normal. It may take 6 months for both implants to drop and settle into their pockets. Continue to follow your surgeons instructions and contact him or her with your concerns. Best wishes!

Kenneth Hughes, MD · Answer

Hello, thank you for your question. You still in the healing process, It can often take up to 6 months for a breast augmentation’s result to be known so I would recommend seeing your surgeon in person to discuss your concerns and have them provide you reassurance that you are healing well.

Stephen T. Greenberg, MD, FACS · Answer

Hi and thanks for your question. I’m sorry you are having concerns regarding your recent breast augmentation. By your photos, it does seem that your implants are settling at different rates which can be completely normal in the healing process. It can take 6 months-1 year for implants to fully settle into their pockets. Your question about having developed a capsule is valid but most surgeons will have you try some different treatments that may help it settle into position before choosing a revision. I recommend speaking with your surgeon to discuss treatment options. Best of luck to you !

Peter D. Geldner, MD · Answer

Thank you for your questions and photos. Your pictures show that after surgery, both of your implants were sitting high. One started to drop, the other likely didn't. At ten weeks post operative, there's still a chance that your high riding implant could settle. There are several things that your surgeon could suggest to help move the implant down. You're right to question whether capsular contracture may be starting. One of the first signs is asymmetric implant position. In your case however, the high riding implant has remained high without settling. Only your surgeon can access you for signs of capsular contracture. As far as there having been an error on the part of your surgeon, I doubt it but wouldn't speculate on the basis of your photos. Stay in touch with your surgeon. Healing from breast augmentation is a process that takes time.

Daniel Barrett, MD · Answer

Dear meg30790,
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 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.Also, you should wait until after 6 months when your implants have completely dropped and fluffed into their final position. 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

Nelson Castillo, MD · Answer

Thank you for your question and photographs, and I am sorry that your current results have caused you concern.  After placement of implants, the overall appearance of the breasts will change dramatically over the next several months, as the implants drop, and the overlying tissue stretches to accommodate the extra volume.  Early in recovery the combination of tissue swelling and the volume of the implants causes a flattened, wide, and elevated appearance to the implants, while the lower breast appears empty.  As this swelling resolves, and your tissues stretch, you should see gradual improvement.  This can occur asymmetrically with one side dropping faster than the other. At this time only time will tell if your tissues will continue to stretch to achieve improved symmetry, so give yourself at least 6 months and then revisit your results.  In the meantime continue close contact with your surgeon for reassurance. Hope this helps

R. Stewart Collins, MD · Answer

Thank you for your question! Based on the photos, it appears the implants are settling at different rates. It is still too early to see the final outcome. Be patient as you continue to let the swelling subside and the implants drop into place. Best of luck!

Aydin Gozu, MD · Answer

Hi there! Congrast on your recent surgery! You are at the early stages of healing at the moment and your implants are dropping and settling and basically your body  needs some time to complete it's healing. Patients are facing this issue after their surgery frequently and most of the time it heals perfectly. To clear that up It may take 6 months for your implants to drop and settle into their pockets.Hang in there! Prof Dr Aydin Gozu

Connie Hiers, MD, FACS · Answer

You are still early in the healing process and do have two different breasts. Your implants may not drop at the same time. There are things that can be done now to help speed up the process of dropping. However, it can take up to 6 months before the implants have completely settled and the tissues relaxed. I would suggest discussing your concerns with your surgeon.

Brian Widenhouse, MD · Answer

Thanks for your question. It is still early in the healing process. Your implants may very well drop over the next few months. Please discuss your concerns with your PS.Best of luck!

10 weeks post-op breast augmentation and asymmetric, what do you think? (Photos)

Answers (12)

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