Uneven Breasts 6 Months After Augmentation - Revision Needed?

It's not unusual for patients to have asymmetry following breast augmentation surgery. This is a normal finding and occurs to some degree in almost everyone who undergoes breast augmentation. Asymmetry can occur for a variety of reasons. It's often due to factors that can't be controlled by the surgeon. It's often related to baseline asymmetry of the breast tissue, nipple areola position and underlying chest wall.Your pictures suggest a superiorly malpositioned right breast implant. This could occur for a variety of reasons, but after 6 months will probably require some type of revisional surgery.  It's virtually impossible to make a recommendations without pre-operative pictures and a physical examination. For these reasons, it's appropriate to contact your surgeon as soon as possible. Your surgeon should be able to address your concerns.

YOur results appear to demonstrate the settling and dropping of your left breast implant relative to your right. My advice would be to wait until 9 months but it is my opinion you will require a left sided breast implant capsulorrhapy and possible implant downsizing.

Your result is unlikely to change after six months.  At this point to achieve symmetry you will need revision surgery.  Revisit with your surgeon and possibly get several other opinions from board certified plastic surgeons in your area.

Good Luck.

Dr. ES