Asymmetry will improve and fuller more

I'm three months post-op. I have 280 extra high profile style 45, and I see that my boobs they are asymmetric with the right side still riding high. Both sides feel empty on bottom of the pocket. Will they drop more, and stay in nice shape?

Answers from doctors (9)


More About Doctor Michelle Roughton, MD

Published on Dec 06, 2019

The muscle will continue to soften but if you haven't seen much improvement at 3 months, I start to think you may need a revision to release a bit more of your pectorals muscle. Good luck. Definitely worth a conversation with your surgeon and a follow up at about 6 months post-op.

Answered by Michelle Roughton, MD (View Profile)

The muscle will continue to soften but if you haven't seen much improvement at 3 months, I start to think you may need a revision to release a bit more of your pectorals muscle. Good luck. Definitely worth a conversation with your surgeon and a follow up at about 6 months post-op.

Published on Jul 11, 2012


William Rahal, MD

Published on Oct 30, 2017

The healing process of breast augmentation is asymmetric. This means that often, one breast will look more swollen, have more bruising, or appear higher than the other. This difference in healing is completely normal and the resulting asymmetries will go away with time.

Given that you had your surgery such a short time ago, it's entirely possible that what you're seeing is just caused by asymmetric healing. I recommend that you wait until you're about 4 months post-op to have a good idea of what your final result will look like. If your breasts are still uneven after a few months have passed, then that asymmetry will not correct itself and you'd have to consider a revision if you're unhappy with your look.

I hope that answers your question on uneven breasts. It's great that you're doing this research. I always say the best patients are informed patients.

Thank you for reading and good luck on your journey!

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Answered by William Rahal, MD

The healing process of breast augmentation is asymmetric. This means that often, one breast will look more swollen, have more bruising, or appear higher than the other. This difference in healing is completely normal and the resulting asymmetries will go away with time.

Given that you had your surgery such a short time ago, it's entirely possible that what you're seeing is just caused by asymmetric healing. I recommend that you wait until you're about 4 months post-op to have a good idea of what your final result will look like. If your breasts are still uneven after a few months have passed, then that asymmetry will not correct itself and you'd have to consider a revision if you're unhappy with your look.

I hope that answers your question on uneven breasts. It's great that you're doing this research. I always say the best patients are informed patients.

Thank you for reading and good luck on your journey!

Published on Jul 11, 2012


Joseph Cruise, MD

Published on Oct 10, 2017

The breasts do not heal at the same rate with one side sometimes taking longer to drop than the other. For some women, it can take longer for the implants to completely drop into the lower pocket. At my practice we take bra management and massage very seriously after breast surgery. I advise my patients to aggressively massage their breasts while also putting pressure on the upper portion of the implant to help it move down. I will also have them wear a bra strap stabilizer which also helps move the implants downward.

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Answered by Joseph Cruise, MD

The breasts do not heal at the same rate with one side sometimes taking longer to drop than the other. For some women, it can take longer for the implants to completely drop into the lower pocket. At my practice we take bra management and massage very seriously after breast surgery. I advise my patients to aggressively massage their breasts while also putting pressure on the upper portion of the implant to help it move down. I will also have them wear a bra strap stabilizer which also helps move the implants downward.

Published on Jul 11, 2012


Edward Domanskis M.D.

Published on Oct 09, 2017

It sounds like you had the implants placed under the muscle without an uplift. This unnatural look and feel is usually the norm, unfortunately. It may change but it usually does it in first two to three months.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery 1441 Avocado Avenue, Suite 307 Newport Beach, California 92660 949.640-6324/1.888.234-5080(Ca) FAX- 949.640-7347 Website: Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine) Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors Plastic Surgery- 2005-2017 President,American Society of Bariatric Plastic Surgeons

Organoderm Skin care/ScaRxTape

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Answered by Edward Domanskis M.D.

It sounds like you had the implants placed under the muscle without an uplift. This unnatural look and feel is usually the norm, unfortunately. It may change but it usually does it in first two to three months.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery 1441 Avocado Avenue, Suite 307 Newport Beach, California 92660 949.640-6324/1.888.234-5080(Ca) FAX- 949.640-7347 Website: Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine) Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors Plastic Surgery- 2005-2017 President,American Society of Bariatric Plastic Surgeons

Organoderm Skin care/ScaRxTape

Published on Jul 11, 2012


Tim Sayed MD, MBA, FACS

Published on Oct 06, 2017

Without seeing photos or examining you, it would be hard to know if you are simply having delayed "settling" of the implants or a capsular contracture that is keeping the right implant from dropping. Have you discussed this with your plastic surgeon or are you interested in a second opinion?

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Answered by Tim Sayed MD, MBA, FACS

Without seeing photos or examining you, it would be hard to know if you are simply having delayed "settling" of the implants or a capsular contracture that is keeping the right implant from dropping. Have you discussed this with your plastic surgeon or are you interested in a second opinion?

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Oct 05, 2017

Thank you for your question but the best person to give you advice will be your surgeon, as he/she knows your history and what was performed. I have seen breast implants settle up to six to nine months post-op--sometimes even up to one year with aggressive massage.

Best wishes for an outcome you will be pleased with.

Tom Pousti MD
www.poustiPlasticSurgery.com
619-466-8851

Answered by Tom Pousti, M.D. (View Profile)

Thank you for your question but the best person to give you advice will be your surgeon, as he/she knows your history and what was performed. I have seen breast implants settle up to six to nine months post-op--sometimes even up to one year with aggressive massage.

Best wishes for an outcome you will be pleased with.

Tom Pousti MD
www.poustiPlasticSurgery.com
619-466-8851

Published on Jul 11, 2012


More About Doctor Susan Vasko MD, FACS

Published on Oct 05, 2017

At three months post-op, your implants should have dropped and should start to look more symmetrical, however implants can continue to drop and change in shape for up to six months to a year after surgery. Everyone's healing process is different. You should follow-up with your surgeon with your concerns.

Answered by Susan Vasko MD, FACS (View Profile)

At three months post-op, your implants should have dropped and should start to look more symmetrical, however implants can continue to drop and change in shape for up to six months to a year after surgery. Everyone's healing process is different. You should follow-up with your surgeon with your concerns.

Published on Jul 11, 2012


Stephen Greenberg, MD

Published on Oct 05, 2017

Thank you for your question. I encourage you to follow-up with your operating surgeon directly for the best advice. With that said, smooth breast implants placed in the submuscular position can take three to four months to settle completely. The muscle, skin, and tissue need to stretch to accommodate the additional volume of your implant and it is also not uncommon for the implants to settle at slightly different rates.

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Answered by Stephen Greenberg, MD

Thank you for your question. I encourage you to follow-up with your operating surgeon directly for the best advice. With that said, smooth breast implants placed in the submuscular position can take three to four months to settle completely. The muscle, skin, and tissue need to stretch to accommodate the additional volume of your implant and it is also not uncommon for the implants to settle at slightly different rates.

Published on Jul 11, 2012


Asymmetry may improve with time. Typically, implants will ride high initially and settle over the course of first three weeks. Ultimately, patients are encouraged to be patient as their result will continue to evolve over the first four to six months post-op.

Regarding your specific question, it is not common for implants to continue to ride high after three months (they have typically settled by this point). You may need a revision to further release the tissue inferiorly.

As always, discuss your concerns with your board certified plastic surgeon (ABPS).

Answered by The Institute of Aesthetic Surgery (View Profile)

Asymmetry may improve with time. Typically, implants will ride high initially and settle over the course of first three weeks. Ultimately, patients are encouraged to be patient as their result will continue to evolve over the first four to six months post-op.

Regarding your specific question, it is not common for implants to continue to ride high after three months (they have typically settled by this point). You may need a revision to further release the tissue inferiorly.

As always, discuss your concerns with your board certified plastic surgeon (ABPS).

Published on Jul 11, 2012


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