Is it too early to judge the results of my breast lift and augmentation? (Photos)

Hello,
You had the most complicated type of primary cosmetic breast surgery. It carries the highest risk of complications and re-operations, including dissatisfaction over appearance, when not performed by a specialist. Although your results would likely be considered 'within the standard of care' in a court of law, they are far from optimal. You were far from an 'easy case': breast size and shape asymmetry with elements of breast constriction. Although I cannot be certain, it seems like you got a 'lollypop' lift, which would be insufficient to achieve proper shape and symmetry.  Best plan would have been an asymmetric reduction/anchor lift with same size implants. If your surgeon isn't an ABPS certified/ASAPS member surgeon who specializes in revision breast surgery, you should consult with a few who are. You will need a revision surgery to achieve an attractive result. Best of luck!

Hello and thank you for your question.  Often times, patience is vital component in recovering.  Being that you are only a few weeks post-op, your breasts are healing within normal limits.  Keep in mind that final results will settle in 6 months after surgery. Please talk to your surgeon with your concerns and keep him/her posted. I hope this helps and best of luck to you!

Dear bbrown1426,I understand that you are worried about the size of your breats. However, you are still in the early phase of the recovery period. Please do allow some time for the healing process to occur. If after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

thanks for your question. And the answer is yes; you need to wait until your breasts are fully healed and dropped. That healing process can take almost 3 months. 

Thanks for sharing your pictures and experience, BBrown. It is way too early to tell your final results. At 3 weeks, you still will have a good deal of swelling and the implants may take some time to fully settle into place. Reviewing your photos, you had pretty significant breast shape asymmetry. It also appears that the one breast was also smaller pre-op. You will likely realize a positive improvement in the shape asymmetry with the breast lift, but possibly not as much in terms of the size/volume difference. Your nipples will come up as the implants settle. But again, it is way too early to tell if they will position to your satisfaction. In my opinion, I don't feel that plastic surgery has yet to invent a true "breast lift," and that essentially a breast lift is a "nipple lift" and a "re-shaper."  Unfortunately, the ability to elevate the nipples, shorten and re-shape the breast, and somewhat elevate the breast mound and infra-mammary crease is hindered by the placement of implants.  Your surgeon may have been more conservative with the lift component as there is a higher risk of nipple loss, wound dehiscence, and/or implant loss. While no one ever wants to have a second surgery, a revision breast lift after a healed augmentation-mastopexy  has the potential to give superior results, as the implant is now protected by the capsule that has formed around it, and there is some scar tissue in the area of the previous mastopexy that often lends superior suture support, compared to the virgin fatty tissue/deflated breast tissue/weakened skin. Best of luck to you, and I hope you achieve the results you were hoping for once everything settles out. Dr. Ghafoori 

I agree with you that you are not lifted enough but it is too early to do anything about it. I suspect you will need a revision but would wait at least 6months before doing it. Work with your surgeon to get what you want. Best wishes. 

You are still very early in your healing phase and your implants have yet to settle. Please give yourself time for the tissues to relax, and the swelling to subside. please discuss any concerns you have with your surgeon.

You are still too early in the healing process to judge the results.  If at 6 months you are not happy, discuss revision with your surgeon.