The Right Implant is Sitting Higher and I Noticed the Inframmamary Fold is Also Higher? (photo)

I had tuberous breasts. Right breast was slightly fuller. I received a sub-glandular breast aug with 275 cc. Immediately after surgery, the left side looked better. The implant sat lower and filled out the lower pole of the breast more. The right side sat very high and the lower pole was not filled out. My doctor assured me that it will take time. My concern is that the inframmamary fold was not lowered enough on the right breast. Can you tell from my pre and post-op pictures (day 6)?

Doctor Answers 6

The Right Implant is Sitting Higher and I Noticed the Inframmamary Fold is Also Higher

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Thank you for your question and photo. Your also very early in your recovery from breast implant surgery. Over the next few weeks your breasts will soften and change. Final results take 6 months. Discuss your concerns with your surgeon and follow his instructions. Best Wishes

Asymmetry after augmentation

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It looks to me from your pictures like there is more swelling on the right than the left and this makes the right implant appear higher. At 6 days post-op, you are very early in the healing process. It will take several months for everything to settle down so I would not even think about revisionary surgery yet--and I wouldn't recommend having any until at least 9-12 months after your original surgery except under very unusual circumstances. Difficult as it is to be patient, time is on your side and your appearance will change over the next few weeks and months. Good luck to you.

Margaret Skiles, MD (retired)
Sacramento Plastic Surgeon

The Right Implant is Sitting Higher and I Noticed the Inframmamary Fold is Also Higher?

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In general you had very asymmetric breast to begin with as seen on the before posted photo. The result needs a little local operation on the left N/A as a donut lift that could even things out. This is my over the internet opinion as I have not examined you in person. 

Breast asymmetry

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Breast asymmetry is the norm not the opposite.  Ideally you do not want to disrupt the folds significantly because this may lead to bottoming out and double bubble deformities. Some minor asymmetry fo the folds is expected, but it is still too early to see the final result.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Early Breast Implant Asymmetry

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I would agree with the other reviewer that your pre-operative photo merely shows small breasts, not a tubular breast deformity.  It is common for implants to be high early after surgery, or for them to be somewhat uneven.  Follow your surgeon's directions regarding any after-care including massaging. Usually these early (6 days is early!) asymmetries will work themselves out with time or directed massage.  However, sometimes they don't and a minor revision surgery is necessary, but that is usually not decided until a few months out.

Fold is Also Higher?

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First of all, I am not sure that at least base on the single pre-op photo that I would call these tubular breasts. There are a number of features that define a tubular breast:

•Wide and puffy areolae
•widely spaced breasts
•high breast fold
•constricted lower pole (deficient tissue in lower half of the breast
•minimal breast tissue
•high breast fold

All I see are small breasts, with none of the other findings.


In the post op film I see pretty good symmetry of the folds. In any case, it is way too early to be critical of small amounts of difference between the sides. For now continue to follow your surgeon's post op care instructions and follow up visits. Don't look too closely until three months after surgery. I think you have a very nice outcome so far that is likely only to improve.

Thanks for your question, and for the attached photo.


Jourdan Gottlieb, MD
Seattle Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.