asymmetry

Q: How best to fix breast asymmetry after weight loss? Major constriction on one breast. (Photo)

Submitted by Q-A from clee on Tue, 06/21/2016 - 13:00

I have asymmetrical breasts (32 B and full C), with the left being constricted, or tubular. The nipples are the same size and shape and in the same location. I've lost 85lbs (from 217 to 132, at 5'5") and maintained it, and am ready to tackle this issue. I scar badly and would prefer not to do a lift if possible, unless it's my best chance at symmetry. I like the the shape of the right breast, but want implants to fill and correct. My skin is thinner, but still relatively elastic. Suggestions?

A: Would be reasonable to initiate treatment with breast augmentation

Thank you for the photos.  They are a good effort on your behalf to provide details of your situation but are limited in interpretation as the "selfies" usually position the arms in positions that exaggerate asymmetries.  Nevertheless, your photos provide a good deal of information.  I do not see any evidence of base constriction.  Your asymmetry is does show some difference in the vertical positions of the nipples.  I suspect an augmentation alone may adequately manage the volume disparity, however the nipple positional differences are  less predictable.  If the magnitude of your asymmetry on examination does not exceed what is visible these photos, I would recommend a breast augmentation and "save" the breast lift for scenarios where the outcome is less than expected.  Good luck in your endeavors!

Q: One Week Post Op Breast Augmentation..complications

Submitted by Q-A from clee on Sun, 05/15/2011 - 11:17

On 5/11/11 I had breast augmentation, under the muscle thru the armpit. The day after surgery I noticed the right breast was significantly more swollen/higher than the left and deep purple bruising appeared down the entire right side of my torso to my hip area. Three days after surgery a "new" bruise with slight lump appeared under the right breast and bruising has spread under the breast. Have seen my PS and he put me on muscle relaxers and icing every hour with follow up on 5/23/11. Normal?

A: Submuscular placement esp via axilla is more painful

Submuscular implant placement especially through the axilla is more painful with high degrees of swelling and bruising as the lower portion of the pectoralis often must be bluntly dissected in "blind" fashion to obtain an adequate pocket. It is not uncommon to have muscle spasms, pain, and more bruising than with the more direct approach with other incisions. This may take several weeks to improve.

Q: Should I Feel my Breast Implant Move at This Stage& Why Does my Breast Look This Way?

Submitted by Q-A from clee on Sat, 05/14/2011 - 08:56

I am 22 days out of BA surg texture silicone cohesive submuscular.Before sugery I was completely flat chest no cup at all I was hoping to be a small C Highest B cup but it doesnt seem that I am. My left breast is very soft and feel fine but my right breast is very high and slightly firmer. I am not in pain at all but I am right handed and not understanding why that breast isnt doing the same as left breast I am worried because the swelling is gone but right breast is so diff from left breast.

A: 22 days is still early

22 days is still early. Without preoperative photos it is difficult to know your starting point regarding symmetry. For now I would just let time work for you to let things settle.

Q: Asymmetry After 300cc Mentor High Profile Silicone Under the Muscle Breast Augmentation?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:38

I got 300cc Mentor high profile silicone under the muscle implants n am 17 days post-op.been wearing the surgical bra w/band 24/7,massaging them,n yet they are completely asymmetrical and the left one is super high up.

Ive asked my doctor countless times but she says nothing is wrong and it'll take another couple months til they look "normal". I had NO asymmetry pre-op. I have no pain (a bit sore still). Am I being paranoid or is she wrong? How long will it take for it to drop? What can I do?

 

A: Be patient

Young patients have tight tissues that may compress the implant superior. This is often made worse by the early surgical swelling. This should improve progressively with a plateau 3-6 months later. If residuals exist, then revision can be contemplated. You will be amazed at how things evolve. Avoid uplift support bras for a full 6 weeks.

Q: Can One Breast Stop Developing While the Other Continues to Grow?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:32

I have always had slightly asymmetrical breasts but as I approached adolescence my breasts have become more different in size and shape. Though asymmetry is common, it looks like one breast simply stopped developing, because the nipple is smaller and the portion of breast tissue under the nipple is significantly not as large/developed as the other. Is this something natural or does it look like a health concern is the cause? Are There Non-invasive Treatments Available?

A: Having some difference between you two breast is normal

Having some difference between you two breast is normal provided the difference is not dramatic. Lots of growth changes happen during adolescence, pregnancy, and menopause. You should soon find the difference stable as you approach the end of adolescence. Now might be a good time to seek out an experienced plastic surgeon to have his opinion on management. Non surgical interventions on breast asymmetries generally do not exist or do not work. Good luck.

Q: No Bra post-Breast Augmentation??

Submitted by Q-A from clee on Fri, 05/13/2011 - 09:37

I just had my breast done 4days ago.I was a 32b and i wanted a full C so he put 350cc of saline in me. Now the next day after my surgery he told me no bra for 3weeks so they can drop.I been in soo much pain so i went back in to see him. now he put a sports looking bra on me!? one looks bigger than the other. i just dont know what to make of this. im alil confused. can someone help me understand why he would say no bra and then tell me wear a bra. he says the implants are ok but one looks bigger?

A: Bra and garments are used to control position

Bras and external garments are used adjunctively to control position of the implant so that they will heal in a desirable position. If the pocket is well dissected and the implant is stable in the pocket then no garment may be necessary at all. However most patients have tight lower breast envelopes that push the implant superiorly. In these instances in might be warrented to use a specialized bra strap to resist superior migration. In contrast an iplant placed for revisional breast surgery for a bottomed out breast miight require a support bra to lessen the forces acting on the breast to bottom out again. Usually the pocket stabilizes by one month to remove all external supports. I hope this information helps you interpret your doctors recommendation but without knowing further details of your situation it is difficult to comment more.

Q: Why Would a PS Choose to Put a 500cc in One Breast but Only a 450cc in Other?

Submitted by Q-A from clee on Thu, 05/12/2011 - 09:53

I just had BA done about 2 weeks ago. I had BA revision done from a BA 10 yrs ago (250cc silicon implants). My right breast was bigger then my left before this recent surgery. I asked for 475cc implants this time. Looking at my breast just after the surgery I could tell the left one was still smaller. My implant cards show 500cc in right and 450cc in left. Why would I get a smaller implant in an already smaller breast to begin with? To me a 50cc difference seems like that would be noticeable.

A: Photos show preexisting asymmetry but volume not easily evaluated

Your photos definitely demonstrate well asymmetry in your breast.before and after surgery. Asymmetry may result from either your breast envelope being "relaxed" ie with ptosis or from your left breast having a smaller volume. In your photos we can conclude you have asymmetry as well as ptosis but cannot comment on volume without a physical exam. Since the asymmetry has mildly improved after implantation with a smaller implant on your left, It is very possible that your left breast may not have been smaller in volume prior to surgery. It might be worthwhile to have an open discussion with your surgeon about your situation. If his/her explanations do not adequately address your concerns consider seeking another opinion from an experienced surgeon. All the best to you.