Will my asymmetric fullness resolve with more time? (photos)

Question

Hello. I had submuscular implants placed 13 weeks ago. They are 445 cc textured surface silicone. I understand that with textured implants, less “dropping” is expected. I am concerned, though, about the degree of asymmetry in the upper pole, which was not an issue pre-op. Will this resolve with more time? I’ve been advised there is nothing to do but wait. I’m growing rather self conscious and anxious about the likelihood of a result that looks bizarre and lopsided. Thank you in advance.

Drew Davis, MD · Answer

You are right that textured implants tend to "settle" or "drop" less than smooth implants.  I would wait about 6 months after the surgery, and if at that time you are still noticing some asymmetry, it would be worth discussing a revision with your surgeon.

Miguel Delgado, MD · Answer

At 13 weeks it is still possible that your breasts may even out. If however at 6 months you are still unhappy discuss the possibility of revision surgery with your surgeon. Good luck.

Hampton A. Howell, MD · Answer

Hi.  I do see what you are referring to in your photographs.  I would typically have my patient do fairly aggressive inferior displacement maneuvers on the side that is more high riding to try and speed along the process of that side dropping and also to help that side try to catch up to the other one.  I would recommend asking your surgeon about that to see what his or her recommendation is.  Good luck and take care, Dr. Howell

Kenneth A. Godwin, DO · Answer

Hello and thank you for your question and photo. Although it is difficult to see the complete shape of the breasts from your photo, it does appear that one of your implants is higher than then the other . Although most implants settle into the correct position by 3 months after breast augmentation, it can take longer. If the position of the implant does not improve by 6 months a revision surgery may be needed to correct this. It is always best to discuss your concerns with your surgeon.  Best of luck with your ongoing recovery.

Daniel Barrett, MD · Answer

Dear rdnwithnewtatas,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

William Albright, MD · Answer

Hello
Fortunately there is still time for the implant to settle.  For my submuscular augmentation patients, I will consider implant displacement maneuvers and/or an implant strap to assist in this process. Be patient, and discuss your concerns with your plastic surgeon.  Good luck.
ABPS board certified plastic surgeon

Adam Hamawy, MD · Answer

Breast implants tend to drop over time and one may draw faster than the other.  Usually the whole process takes about 3 months however sometimes it may take a little longer.  When one appears higher postoperatively I recommend placing a band over the upper pole and recommend frequent implant displacement massages to help drop it into place.  If by 6 months this has not occurred a revision may be warranted based on how severe to discrepancy is.

Olivier Deigni, MD · Answer

Hello and thank you for your questions and your pictures.
Breast implants tend to drop over a period of time and each implant usually drops at its own rate. In the beginning one side may be fuller than the other and it can be a source of concern for patients. You are still in the healing process and I would suggest you continue to wait and be patient. At about 6 months postoperatively you can reassess the results with your surgeon and if there remains some asymmetry that bothers you then you can entertain a revision. Be sure to follow up with your surgeon regularly and follow their postoperative instructions.
Best wishes!
Olivier A. Deigni, MD, MPH
Houston Plastic Surgeon

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
Asymmetry following breast augmentation is not unusual. It is extremely common in the early postoperative period before the drop and fluff phenomenon occurs (usually within 3 months). However, if the asymmetry persists, one considers a revisional procedure at 6 months, allowing time for the swelling and hypervascularity of the previous surgery to subside. 15% of cosmetic procedures require a secondary touch up.
Continue followup with your plastic surgeon.
Best wishes...

Will my asymmetric fullness resolve with more time? (photos)

Answers (9)

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