Worried After Asymmetry at 1 Month Post-op?

I am one month post- op breast augmentation. I had small implants 275cc mod+ silicone under the muscle. Left implant appears to be dropping however right one is improving but not catching up. I am massaging as per PS recommendations doubling up on right. I was a AA before implants but breasts were symmetrical. I am athletic and have very low body fat(8 %) and have fairly developed pec muscles-could this be hindering the dropping process?

Doctor Answers 12

I month post-op and implant high

It is common that one implant relaxes into the pocket sooner than the other. I would give it 3-4 months before getting too concerned.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast implants may mature at different rates.

Implants are commonly manipulated by the muscle in the early postoperative period.  Commonly,  plastic surgeons will use a compression band to the top of the breasts to minimize this.  Make sure you are doing the massages in the manner that your plastic surgeon recommends.  This is important as I catch quite a few patients doing the massages wrong.  I have patients demonstrate the massage technique in front of me so that I may correct any problems.

Best Wishes!

Pablo Prichard, MD


Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 47 reviews

Asymmetry at 1 Month

It is common for implants, although they looked even and properly positioned at surgery with the pectoral muscles relaxed, to look too high and uneven for several months. Most often it is the "handed" side that is slower to settle into place, since that is the stronger muscle. 

Usually, expect gradual improvement over the first three months, and stay in contact with your surgeon. Thanks, and best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews


The breasts do not heal or drop at the same rate after surgery. The swelling is asymmetric and resolves at different rates. Allow yourself more time for healing

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 14 reviews

Asymmetric Breast Implant Settling After Breast Augmentation??

Thank you for the question.

Asymmetric breast implant “settling” is  quite commonly seen after breast augmentation surgery. Most of the time, breast implants do “settle” although it may take several months ( and occasionally) up to one year to do so. It sounds like your plastic surgeon is advising you appropriately.

Although there is no science behind the statement, I do find that patients with relatively “developed pectoralis major muscles"  may experience relatively slower descent of breast implants after breast augmentation surgery.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Asymmetry after breast augmentation

Thanks for your question.  What you are describing is a very typical postoperative course.  One breast will often respond differently in the initial healing period.  You will not see your final results for at least 6 weeks after surgery and often up to 3 months after surgery.  Congratulations on your surgery and keep in good communication with your surgeon.

Naveen Setty, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 74 reviews

Breast Implant Assymetry

You should be patient, but you should also take note that just about everyone I've seen after breast surgery goes through a similar experience. There's always one side that acts a little different and may drop faster than the other. Talk to your surgeon's office and see if they have any strategies to assist you in your postoperative course. Best Wishes.

Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 201 reviews

Wait 3-4 months before assessing results

At 1 month after surgery your breasts are still settling. This takes about 3-4 months to occur, and so it would be better to wait until then before assessing your results. You may find that settling takes longer if your skin is tight and you've never had children. You should probably ask your surgeon if a tensor bandage wrapped around the top part of your breasts will help. This could accelerate the settling process.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Breast Enhancement

Cant really worry too much at 1 month, everyone goes into surgery asymmetric and sometimes the surgery will accentuate it with the volume. Wait at least 6 months before deciding on a revision 

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
4.9 out of 5 stars 72 reviews

Give your implants more time to settle

Give your implants more time to settle. you are early in the healing process.  You will be surprised how much things improve over time.  I would recommend that you wait a bit longer before making any judgments.  In the interim, please relate your concerns to your plastic surgeon.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 34 reviews

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.