6 weeks post op, I have uneven breasts and incisions after augmentation. Is this normal? (photos)

Question

I am 6 weeks post op breast augmentation 300 cc silicone under the muscle and am concerned about my right breast being higher than the other. I've also noticed it's tighter and the incision is higher. Do I just need to give it more time? I had significant bruising on my right side after surgery but none on the left.

Alejandro Nogueira, MD · Answer

Firstly I must say that 6 weeks is a lapse in which you are far from the final result.Secondly, never, abdsolutely never in the whole history of Plastic Surgery a doctor could obtain simmety in breast augmentation, among other reasons because simetry in breasts does not exist.Finally, let me note you that you suffer spine deviation or scoliosis a very clear fact based in your preop pics, well compensated but, as a consequence of such compensation, with a rotated ribcage leading to a prominent left hemi-thorax and a sunken right ribcage. As you can imagine your right implant lies on a depressed surface and the left one on top of a prominence, thus leadin to an assimetry that has NO technical repair. Your surgeon is good, but not God.With that said, I must express disagreement with the implants chosen, they seem to be short in base and your cleavage empty, your result will not be bad... but neither the best possible.

Larry S. Nichter, MD, MS, FACS · Answer

It
is quite common for the two breasts to heal differently. One may swell more,
one may feel more uncomfortable, or the shapes may differ initially. After
complete healing, they should look more similar and natural. Patience is
required, but if you are concerned, ask questions to your doctor or the nursing
staff.

#breastrevision
#breastimplants

Richard H. Fryer, MD · Answer

Asymmetry after breast augmentation is inevitable because you did not start out symmetric. Mild asymmetries should be expected and I inform my patients even before surgery that they will notice them.  I relate this to buying a brand new car. At first you notice fingerprints and dust on the new car because you pay more attention and are very excited about the car. One year later you haven't washed the car for 2 months and you don't seem to notice -- but you still love the car.Minor asymmetries are inevitable and should not be noticeable to other people when you are in clothing. Out of clothing you will be able to notice them.Give it some more time and I think you will see that things will improve. However significant bruising on one side more than the other could also indicate a bleeding problem around the implant (it could also just be a little bleeding from the skin edge and not have a collection of blood around the implant). If this is the case then the minor asymmetry may not resolve and may lead to an increased chance of capsular contracture.  Only time will tell -- so give it some more time.

Gary Lawton, MD, FACS · Answer

At six weeks after surgery you are still quite a bit too early to judge the outcome.  Things are going to change over the next 6 months.

Shim Ching, MD · Answer

Thank you for your question.Based on your photographs, it does appear as if one breast is higher than the other.  The position of the implants does change with time and it is possible that the right breast could drop to match the other side.  You may have early signs of capsular contracture which is causing the right implant to be higher as well.  My advice is to discuss these issues with your surgeon immediately.  It is a simple procedure to lower the right implant.  Contracture is a bit more complicated to treat but some surgeons, including myself, believe in the use of accolate to reduce or eliminate early capsular contracture.  Your surgeon is in the best position to help you further.  Your surgeon will determine the next best course of action, which could include waiting to see if things get better on their own.

6 weeks post op, I have uneven breasts and incisions after augmentation. Is this normal? (photos)

Answers (9)

Answer: Too early to judge outcome

Answer: Too early to judge outcome

Answer: Breast asymmetry

Answer: Breast asymmetry

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

6 weeks post op, I have uneven breasts and incisions after augmentation. Is this normal? (photos)

Answers (9)

Answer: Too early to judge outcome

Answer: Too early to judge outcome

Answer: Breast asymmetry

Answer: Breast asymmetry

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.