Uneven breast lift - can it be fixed? (Photo)

Question

I recently got my breast-implants removed, and just went with a breast lift, and my breasts are extremely uneven to the point where it's noticeable, can this be fixed?

Jeffrey M. Darrow, MD · Answer

A revision of your breast lift is possible. To achieve as much symmetry as possible, the top of your areolas should be measured, equally distant from your suprasternal notch, and the distance from the bottom of your areolas down to your fold should also be equal. This usually requires shortening the side which is too long.  If there is a size difference between the breasts, a small amount of liposuction may help to improve the size and symmetry. It’s important to remember that exact symmetry does not exist in nature and is not achieved with surgery. Best wishes.

Igor Burko, MD · Answer

Hello, my name is Dr Igor Burko and I am a plastic surgeon at SY Aesthetics in NYC. No two breasts are ever identical and exactly the same. However, if you are bothered by the appearance of your breasts, you can have a revision to correct the issues that bother you. I recommend you consult with a trained plastic surgeon to discuss your expectations and options.

Chet Mays, MD · Answer

Thank you for your inquiry.  A revision can be done in the office to correct the uneven areas.  Schedule a consult with a Board Certified Plastic Surgeon to help you reach your goals.

Arif Eroglu, MD · Answer

Hello; According to your incisions; the breast; not only the implant was removed; a breast lift was also performed. Normally, during this surgery; adjustments are made to correct the asymmetry in the breast. Despite this, one of your breasts and areola; is lower and facing laterally compared to the other. In order to fix that problem; you need to have a breast lift surgery again.

Daniel Barrett, MD · Answer

Dear jazz1122,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Justin Yovino, MD, FACS · Answer

Although a removal and lift can be combined during the same procedure, I recommend to patients that they first remove the implants and let the breasts completely heal before embarking on a breast lift. This approach establishes the true new baseline to then plan for a lift. It also shows the surgeon and the patient the differences between the right and left breast. Some of these asymmetries can be fully corrected and some cannot be fully corrected. In other words, desires, expectations, and realistic outcomes can be better communicated. But even if the procedures are separated as mentioned above, there still can be significant differences between the left and right breast depending on your anatomy and the surgical technique. With all that said, you may have some surgical options to improve upon your outcome but have your surgeon help guide you.  You don't want to get into a situation where more surgery leads to new problems.

Gerald Minniti, MD, FACS · Answer

It's unfortunate that this happens, but it can happen to the best of surgeons. Your scarring is fine and overall shape is ok too, it's just that they don't match. The easiest, and cheapest thing to do is revise the one breast that is lower and possibly larger. If given free reign, I would also revise the smaller breast by moving the nipple areolar complex half its diameter higher and toward the sternum in addition to matching the other breast too it. Talk to your surgeon, he seems competent.

Gary M. Horndeski, MD · Answer

Your breasts appear to be asymmetrical in volume, shape and position. If you like he larger breast volume then fat transfers can be performed to correct the volume deficiencies. You will also need an inferior scar revision. You will also need circumareola surgery to reposition the nipple-areola complex to match the heights.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Tek Przylecki, MD, FACS · Answer

Hello and thank you for your question. Looking at your photos you have some breast asymmetry with the left breast being slightly larger with more inferior pole (tissue below the nipple) tissue and potentially sitting a little lower (although this is difficult to state for sure since in the photo your left shoulder is canted lower and the photo may be misleading. This is correctable but would require a procedure/surgery. I would recommend you seek consultation with a board certified plastic surgeon and clearly articulate your observations and concerns. I hope this helps! Wishing you the best on your journey!

Harry T. Haramis, MD, FACS · Answer

All breasts are different right to left before and after any surgery. They also will heal differently.

Allow 6-12 months for full healing to evaluate final results. If very uneven, then reassessment by your plastic surgeon for revision should be discussed.

In the meantime, close follow up during this process with your plastic surgeon as healing progresses.

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