4 Weeks Post-op - Uneven Breasts?

4 weeks ago I had smooth saline implants (325 cc.) placed under the muscle. I was told at my 1st week appt. that one implant had "dropped" but not the other one. The breast with the implant that "dropped" (left) looks bigger/fuller than the other, and the nipple is at a lower position. I understand I may have to wait months to see the implant "drop", but would the (right) breast look bigger/fuller like the other one once the implant drops? I am worried because I do not think that's the case.

Doctor Answers 26

It takes patience to see breast augmentation results

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Patience is one of the most important factors in achieving the best results in cosmetic surgery. We all want to see the final result as early as possible. Unfortunately, the healing process is complicated and takes time. You cannot fight Mother Nature. The surest way to get a poor result is to undergo revision surgery before your body is ready for additional surgery.

With more than 30 years and thousands of breast augmentations, I have found that breast augmentations take about six months for the swelling to go down and the breasts to settle and assume their final size and shape. When we do a breast enlargement, surgeons try to center the implant behind the nipple. Minor position adjustments can be accomplished to account for the normal asymmetry that most women have. If the breasts are different sizes, saline implants can be adjusted to achieve better symmetry.

A set of preoperative photos would help in assessing your degree of asymmetry in breast size and nipple position.

Please wait until six months post op and then return to your original surgeon. Minor asymmetry is normal. Too vigorous surgical approaches may result in more expense, more scarring, and new complications.

Be patient and realistic.

Richard L. Dolsky MD

Philadelphia Plastic Surgeon

Breasts are Asymmetric After Implant Surgery.

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You most likely had asymmetry in your breasts before surgery. It is quite common. However, even small asymmetries can become amplified after breast augmentation. At 4 weeks you are still in the early phase of healing and I recommend waiting around six months to let everything settle down.


Dr. Babak Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 51 reviews

Post-op augmentation

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The two breasts look pretty good. I owuld just leave them alone and let them heal.  Remember we all have asymmetry.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Asymmetry at 4 weeks after breast implants

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At 4 weeks, some swelling and tissue tightness is still expected.  It's really "too early to tell" in terms of subtle shape differences.  Give it 2-3 months before judging the final result.  

Also, posting a "before" picture would be helpful - many people have pre-existing asymmetries that they don't even notice beforehand...but they sure notice them afterwards!

Your surgeon can best advise you on this.

All the best,

Breast implant results can be seen after 3-4 months.

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You should be patient until 3-4 months after surgery.  Make sure you are following all of your post op instructions and doing any massaging as directed by your surgeon. 

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Wait a little longer

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Your breast will drop at different rates and for them to be in different positions at 4 weeks is ok.  It will take about 3 months until they look great!  You probably didn't notice the asymmetry in position of the nipples or the folds underneath your breasts before surgery but those things are most likely the same now too.

Breast asymmetry after augmentation

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When we look very carefully at pictures before and after breast augmentation, asymmetry in the shape of the breast envelope, and nipple position are common and the implants can call attention to what was there all along. I'll bet that your right breast was slightly larger, the nipple slightly larger, and the skin fuller nipple to natural breast fold. It is true that after six months things can improve a bit and it is too soon to panic. We can all see what you do, though at this time massage gently, resume some exercise, and wait and see.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Uneven Breast After Breast Augmentation

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Although you are asymmetric, this is very slight and most likely is related to your pre-operative appearance.  Comparing your current result to a before photo is often very helpful.  Also, there is no question that your breasts will continue to "settle" over the next few months helping them to look more natural and even.  Patience is a true virtue here.  Stay in communication with your doctor and I'm sure you will be happy as time passes. I cannot emphasize the importance of allowing enough time to pass before worrying about a revision procedure as in most instances time will make a significant improvement with almost any procedure.

Best of luck

Vincent Marin, MD

San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 52 reviews

4 Weeks Post-op - Uneven Breasts?

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Thanks for the posted photo. Very hard to advise without a before photo. Because maybe you very asymmetric with uneven breast tissue and nipple position. But if you think you were even than yes you have an issue. Only revision will help. Sorry. From MIAMI Dr. Darryl j. Blinski

Breast implant healing

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At this point you just need to wait.  There is no obvious problem here so let the full healing take place over 6 months.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.