Unilateral Breast Reduction Even Out?

    For a unilateral breast reduction, wait 6 months before trying to assess symmetry with the other breast.  Swelling will decrease and skin laxity will increase.  The natural tendency is to fall, so being higher at the beginning should be observed in a good result.

Since one side is operated and the other is not, of course there will be differences. This will persist until the operated side is fully healed, which can take a year. This is always a finding with surgery performed on one breast and not the other, but does not mean that there is a problem. Usually, for Breast Reduction, both sides are operated. This helps patients feel symmetrical faster. With one sided surgery, the waiting after the procedure is often the hardest part. You have provided no before and after pictures, so it is difficult to provide much more guidance. Hang in there.

Congratulations on having undergone the breast procedure.

As you can imagine, without direct examination is not possible to give you precise advice. However, it is safe to say that, after 3 weeks, you are not seeing the final results of the procedure performed. I also think that your  thoughts about “gravity and reduction in swelling”  our valid and that you may see improved breast symmetry over the course of the next several months.

In the meantime, I would suggest continued patience and continued follow-up with your plastic surgeon.

Best wishes;  hopefully, you will be very please with the long-term outcome of the breast reduction procedure.

It typically takes 3 to 6 months for a breast to "settle" after a breast reduction. So after 3 weeks, there is still time for some improvement to occur.

Your plastic surgeon is in the best position to know the answer to your question.  In general it can be difficult to achieve absolute symmetry in your particular situation since you are only operating on one side.  The goal should be to make the breasts evener.   After the breast has settled down for about 6 months you could consider a revision surgery.  

Your asymmetry is to be expected. Reducing only one breast solves only part of the problem and generally patients need revision to achieve more symmetry. That said, it is much too early to consider secondary surgery on the other side and your surgeon is correct in encouraging you to wait. I would not expect the breasts to "match" because, even without your issue, they never do. It is all a matter of degree.

Hi.

Sit tight and be optimistic.  You will know for sure in four months.  There is nothing to do for now in any case.