My tissue expanders are uneven and not filling to the shape or size that I expected at this stage. Any suggestions? (photo)

Thank you for your question.   Depending on how asymmetric your breast were prior to surgery and how much tissue was removed with each mastectomy side, it is not uncommon to see some asymmetry at the tissue expander stage.   The nice thing about staging breast reconstruction is that many of these concerns can be drastically improved at the second stage when the final implants are placed.   All the best.Dr. Gill

Thank you for including photos. In your photo, it does look like you are lacking some projection (outward expansion) of the breast as compared to your example photo. There are several ways to address this, but I should mention that this warrants a discussion with your reconstructive surgeon. There are different shapes/projections of expanders, and you may simply just need a larger one to help the expand the skin outward for a more round shape. Additionally, expanders do not always look like an implant will look. Implants can be a lot more round with better projection, but you need to have enough skin there to begin with.