My breasts are uneven 5 days post-op. Does this mean they have been placed incorrectly? (photos)

Question

I had a BA five days ago, under the muscle placement, with textured silicone high profile 385 cc implants. I researched the procedure thoroughly beforehand, and chose my surgeon due to his many years of experience, good reputation and great work he had done on othets. However, six days post op and I have uneven breasts. One is large and high, and the other is flat and low, they look totally different. My breasts were very symmetrical before. Does this mean they have been placed incorrectly?

Jaime Perez, MD · Answer

Hello. Five days is not enough time for the implants to settle. Your implants will not settle for about another three months and I would not be too worried about your outcome until then. It is not uncommon for one breast to drop faster than the other.

	Jaime Perez, MD
	Breast Augmentation Specialist
	Plastic Surgery Center of Tampa

Luis Villar, MD, FACS · Answer

Minor asymmetry is common during the early swelling phase.  Normally, peak swelling is at three days and slopes down to normal at ten days. 

	However asymmetry caused by a hematoma can prolong swelling and lead to capsular contracture.  A hard tight breast, significant bruising, dark blood draining from the incision site are signs of a hematoma. A rapidly expanding breast with bright red blood leaking from the wound is a medical emergency. Report this to your surgeon without delay.

	Removing the implant, thoroughly washing out the pocket, controlling the bleeders, and reinserting the implant is the highest quality care and should result in no delay in the healing cycle.  If the wound is separated  without recutting the margins, and sutured again, the wound will heal as if it was never reopened.  If the margins are re excised, the healing cycle goes back to day one.Best wishes. Knowledge is power.  Luis F. Villar MD FACS

Aldo Guerra, MD · Answer

Hi MissAli. At 5 days it's way too early to come to any conclusion about your final results. Your breasts will likely mature over the next 6 weeks and as swelling goes down things will improve. Talk to your plastic surgeon about these concerns, but think positive.... Thanks, Dr. Aldo.

Darryl J. Blinski, MD · Answer

YES! I agree something not right. Either you have an undetected hematoma, wrong sized implants used, etc. Best to have an in person discussion with your surgeon. Most likely secondary surgery is needed.

Curtis Wong, MD · Answer

You need to grab on tight and finish the ride of the recovery process. If your breasts looked perfect right after the procedure, I can guarantee you that they will not look perfect 6 months down the road. A lot of settling and softening occur and you need to wait for healing, follow your surgeon's instructions, and more likely then not, you will be smiling when this ride is over.

My breasts are uneven 5 days post-op. Does this mean they have been placed incorrectly? (photos)

Answers (10)