Uneven Breasts 7 Weeks Post Op.

Question

I had a breast lift with augmentation and I am very concerned that they are still uneven. I was told to expect the implants (which are silicone gel) to drop at different rates, however the left breast has a very different shape, the implant seems higher and a bit harder- when I massage them it isn't as flexible as the right breast. It is funny because initially the right breast was much higher. Could the implant have moved? Is this a sign of capsular contracture? Is this correctable?

Otto Joseph Placik, MD · Answer

Your areolas and breast generally appear symmetric but the volume appears more upwardly displaced on your left. That together with your description of firmness lead to believe the muscle was imcompletely released or you may be develioping a capsular contracture. I would wait at least 6-9 months and perform one sided preferential exercises in the meantime if OK with your surgeon. Surgery maybe required but wait at least 6-9 months.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.

	Some degree of breast asymmetry is to be expected in the short and long term after breast surgery. I would suggest that you wait 6 months to evaluate the end results of surgery;  you will find that significant changes take place during this time.

	If firmness of the breasts  continues to be a concern,  make sure you follow up with your plastic surgeon for evaluation ( rule out early encapsulation).

	Best wishes.

Moneer Jaibaji, MD · Answer

After breast augmentation and lift and breast will continue to change for a period of 4- 6 months. It is only seven weeks since you had your surgery and the asymmetry from the photos you provided is not significant. I suggest you speak to your plastic surgeon and give it more time and follow his/ her advice.

Steven Wallach, MD · Answer

Asymmetry I am surre existed before your surgery, and so there will be some after wards. It is difficult to impossible to make them exactly alike. You are also very early post-op. I would give itmore time to heal.

Michael A. Jazayeri, MD · Answer

Breast augmentation with lift is more involved surgery than breast augmentation. Therefore, the swelling and healing process may take longer. From your photos, at this stage of your recovery, I do not see any major asymmetry or issues. My recommendation is to wait at least 6 months before making any rash decisions. In majority of patients, the unevenness will improve. However, please keep in mind, perfect symmetry is never possible!

Uneven Breasts 7 Weeks Post Op.

Answers (5)