asymmetry

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

Submitted by cleemd on Tue, 06/21/2016 - 12:59

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: My Gynecomastia Surgery Was Not Completed on my Right Hand Side.

Submitted by Q-A from clee on Tue, 06/21/2011 - 23:30

When I asked the Dr. at pre-op the amount of removal he said, "A lean guy like yourself, we can get pretty much get all of it" Area 1: Lipo was done on the very lower chest area of the left side. Skipped on the right. Area 2: Glandular tissue excised on the left side of the right areola. Skipped on the right. Area 3: Skipped and not as important to me. The surgery has made me more a-symmetrical. There is still irritation and tenderness just as before. What are my options?

A: More details and examination needed to advise

More details and physical examination necessary before useful advice can be offered. Specifically, preoperative photos, volume of tissue removed (by lipo and excision), duration of time since surgery would be helpful. Going on your photo alone without details as above would lead me to think that you have a good result.

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.