Breast augmentation results - I feel like there is asymmetry. Will I need a revision? (Photos)

Question

I had a breast augmentation recently. Are these good results? I feel that there is asymmetry

Semih Yildiz, MD, FEPOBRAS · Answer

The photos show mild asymmetry in breast position and nipple-areola level, but from two images and with a recent augmentation, it is not possible to judge the final result yet. Early swelling, muscle tightness, implant settling, and pre-existing chest or breast asymmetry can all make one side look different during the first weeks to months. Unless there is rapidly increasing swelling, severe pain, redness, fever, or a sudden change, this is usually something to follow closely with your surgeon rather than rush into revision.

At your visits, ask your surgeon to compare implant height, pocket position, the inframammary folds, and whether one implant is still riding higher or settling more slowly. Most surgeons wait at least 3-6 months, and often closer to 6-12 months, before deciding on a cosmetic revision because the shape can continue to soften and descend. If a clear pocket problem remains after healing, revision options can be discussed, but the first step is a direct exam and standardized photos over time.

Chet Mays, MD · Answer

Hi, Thank you for your injury. We would love to sit down and talk with you about your concerns. The Breasts look symmetrical in the picture but always better to do a in person consultation. Schedule a appointment with a Board Certified Plastic Surgeon to help you reach your goals.

Daniel Barrett, MD · Answer

Dear CutiePeaches,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Brian K. Reedy, MD · Answer

Thanks for your question!
Not sure when you had surgery, It can take up to 6 months for the implants to drop and settle. Reach out to your surgeon with your concerns. Best wishes!

Luis A. Mejia, MD · Answer

Dear CutiePeaches, Thanks for sharing your pictures and concern. After evaluate your case yes you do have this asymmetry, this can be fix perhaps by performing a revision and try to correct the nipple position, as I can see you already had this before surgery. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Gary M. Horndeski, MD · Answer

In your pre-op photo, you can see your breasts were asymmetrical and one nipple was higher than the other. Also, your breasts were widely separated. Unfortunately, the implants had to be placed underneath the nipple-areola complex, which resulted in lateral position of your breasts, one side more than the other. At this time, I recommend a circumareola approach to reposition the nipple-areola complexes and change implants for the volume discrepancy. You will also need plication of the capsules laterally and inferiorly to push the breasts more medial.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ira H. Rex III, MD · Answer

It seems the greatest asymmetry is from volume mismatch.  Your upper pole fullness seems quite satisfactory.  May be just a larger implant on the right and perhaps adjusting the inframammary fold.  Ask your plastic surgeon but they think that that that this is probably the best place to start.

Tuan A Truong, MD, FACS · Answer

Thank you for your question. You did not mention how far out from surgery you were, and as there was some asymmetry prior to augmentation, some of the asymmetry still exists, e.g. nipple position. That being said, a discussion with your surgeon about these concerns may help you weigh options about revision in the future. If the discussion is unsatisfactory, getting 2nd opinion is advised. Good luck on your journey!

Camille Cash, MD · Answer

You do have some asymmetry, but you also had asymmetry prior to surgery.  You will want to wait for six months from your surgery to allow healing and settling to occur.  If after that time you still have concerns, you can consider a revision to improve your results.

Alper Eskalen, MD · Answer

Hi, I’m Dr.Eskalen from Istanbul/Turkey. Better to compare your previous photos instead of 3D but as i can see your midline can be better with revision. I hope my message helps you. 
Best regards,Dr.Eskalen.

Breast augmentation results - I feel like there is asymmetry. Will I need a revision? (Photos)

Answers (11)

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