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

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.

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.

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

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.

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.

You mentioned you had significant bruising after surgery on the right and not the left.  I'm assuming you are right handed and probably used your right arm significantly more than the left arm after surgery.  If you move one arm more after the surgery there can be more fluid and blood collecting around the breast.  This will lead to asymmetrical healing.  The right breast is higher because of the presence of blood around the implant.  Blood tends to collect in the lower part of the breast and where blood collects is where scar forms.  The lower part of your right breast has formed more scar than the left and therefore the two breasts do not look the same.  Many doctors are not aware of this and do not tell their patients to use arms sparingly but equally if they wish the breasts to turn out the same.  When scar forms around the implant it will change the shape of the breast by contracting the space around the implant.  You scar on the right is actually lower because the implant has moved upwards due to contracture.  You may try ultrasound treatments such as the Aspen after surgery system which may soften the scar.  You should also not be more active as the presence of scar around the implant makes the breast more easily injured by excessive movement. 

Six weeks is early in the healing process.  I would let a bit more time pass before having a second procedure.I would follow up closely with your surgeon.  A lot of bruising may be an indicator of some bleeding around the implant and that has been shown to be associated with a higher chance of capsular contracture.Best of luck.

Hi agree that the implant may drop over time so dont rush into surgery. Lowering it is a small procedure and will correct itBest wishes

Based on the photos you have shared, it does appear as if one breast is higher than the other.  Discuss this with your surgeon, as he may need to lower the right breast pocket to correct the asymmetry.  You are still in the healing phase, and the breast may continue to settle and get better on their own.  Best wishes!