One breast bigger after breast implants?

Question

I am 2.5 post opp and I'm wondering if I should be concerned that my left side is bigger then my right because the bigger implant was put in that side? I got 345cc in the left and 330cc in right under the muscle.

Jed H. Horowitz, MD, FACS · Answer

ASSYMETRY: The two breasts commonly heal quite differently. One
breast may swell more, feel more uncomfortable, or have a different initial
shape. After complete healing, they will be more similar and natural. You must
have patience, but if this causes concern, ask questions of the doctor or the
nursing staff.

SHAPE AND CONTOUR: The final shape of your breasts will start to look its
best approximately three (3) months after surgery. It takes time for the skin
and muscle to stretch and relax around the new implant. The breast will often
look higher, firmer, and “less natural” in the first three (3) months. It can
take up to a year to see your final result.

Now, if you find you are still waiting for everything to settle into place you should still not hesitate to visit your surgeon to have the area examined to make sure your questions and concerns are actually healing properly. Best of luck!

Dallas Buchanan, MD · Answer

Thank you for your question. Without some pictures or an in-person exam, it can be very hard for anyone to offer any sort of opinion regarding your results. When you say "2.5 post op" I assume you mean weeks? If so, you are still very early from surgery and there is still a significant amount of edema that will improve and more healing to take place. You will not be at your final result for likely 3 months or more. Also when considering your implants, there is only 15 ml of difference. To put that into perspective, that is 1 tablespoon, or 1/2 an ounce, so that difference is very small and not likely something that is going to be readily noticeable. Give it time and keep in touch with your surgeon. I think with time you will be pleased with the result. Best of luck!

Sacha Obaid, MD · Answer

Thank you for your question.Without any photos, it is difficult for me to determine exactly why one of your breasts is larger than the other. In general, women commonly experience this for several months after surgery as the breasts are still swollen and have not dropped fully into place. I would recommend giving yourself approximately six months following your surgery before evaluating your final results. At that time, if you are still not pleased with the outcome of your breast augmentation, I would recommend visiting a board-certified plastic surgeon to determine if corrections are neccassary. Best of luck to you!

Tom J. Pousti, MD · Answer

Although mild breast asymmetry is to be expected short and long term after breast augmentation surgery, if significant asymmetry is present, there is cause for concern.  Shortly after surgery, significant breast asymmetry may be a sign of a complication that requires the attention of your plastic surgeon.  Generally, exactly what is causing the asymmetry will be best determined by your plastic surgeon, after physical examination.  Best to follow up with him/her for accurate assessment, advice, and/or meaningful reassurance. Best wishes for an outcome that you will be very pleased with long-term.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry and congratulations on your surgery!
It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.
It is important to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is crucial for healthy results.
It generally takes around 6 months to a year to see your final results. Your tissues will take time to relax and allow your implants to "Drop and Fluff" settling into place.
Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.).
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

James Fernau, MD, FACS - Account Suspended · Answer

Thank you for your question.I would recommend consulting with your surgeon so they can perform a physical examination. You are still early in your recovery period and while there is swelling present, the breasts may appear uneven. Over the first 6-8 weeks the swelling should begin to resolve and the breasts will start to drop into their pockets and appear more natural and symmetrical. Everyone heals at different rates and one side may heal quicker than the other. I would wait until you are at least 6 months post op to make a final judgement on the symmetry of your breasts. Best of luck in your recovery.Sincerely,

James Fernau, MD, FACSBoard Certified ENTBoard Certified Plastic SurgeryMember of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACSBoard Certified ENTBoard Certified Plastic SurgeryMember of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

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