Uneven Breast After Augmentation. Will my Doctor Fix This? Do I Have Pay Again?

As my colleagues have already stated, your breasts did not start out exactly symmetrical, and the difference now is present, but truly minimal. What is NOT minimal is your anxiety over this, which should be less at least until everything has completely healed, settled, and softened!

Even when we perform the same exact operation on each breast, EVERY patient has some difference in the swelling, bruising, discomfort, firmness or softness, position, sensation, and shape between the breasts. If you look closely at your pre-op photos with your surgeon, you will almost certainly see some subtle differences you didn't really notice before. But now, after surgery, you're looking much more closely, and your mind "magnifies" each and every slight difference. Did you know that your right chest wall is probably flatter and slightly wider than your rounder and narrower left chest wall? (This is because we each have a heart on the left side, and the ribs curve around this organ). Your breast measurements (if your surgeon recorded them) prior to surgery were almost certainly not identical either.

I would not recommend any re-operation at all right now, and at 6-12 months, if you still look this good, I would probably recommend against re-operation then as well. If this continues to bother you, your surgeon and you should already have discussed revision or touch-up surgical fees before your first operation. Even if re-operation was "free" I would seriously consider that you could be risking a WORSE result than you have now.

Remember, the enemy of good is better!

Congratulations on your breast augmentation. Your results look great for three months. If there is a size difference, it is barely noticeable. Please note that nobody has perfectly symmetrical breasts. One breast may be different in size and/or shape from the other, and this is normal. I would recommend you wait one or two more months before considering revision surgery. If you would like to proceed with a revision, generally the costs related to it are outlined by your surgeon. All the best.

your pictures show a very nice result.  You were not perfectly symmetrical before surgery (nobody is) and you are not now.  Certain features of your breasts do not change by the addition of extra volume (implant), your breasts (with all their asymmetries) just get bigger.  Before surgery you were used to the way your breasts looked and you did not see the differences, or if you did you didn't really pay much attention to them because you were used to them.  Now that you have implants your point of view has changed and you see things that before (although they were there) you didn't care about.  As time goes on you will once again get used to the way these breasts look and it will not bother anymore.

You must realize that adding two identical breast implants into two non-identical breasts is not going to improve or worsen the asymmetry, it will only change how you see yourself and suddenly you see things you didn't notice before.

Congratulations on a very nice result.

Sincerely,

Martin Jugenburg, MD