American Society of Plastic Surgeons
For Medical Professionals
2 years ago

Left is significantly larger

I got my surgery done 1/14/22 going from about DDD to a D.. everything was going well, however now that all my swelling has gone down, I’m about 2.5 months out and my left breast is very noticeably larger/ heavier than the right. Wearing a bra I need to adjust my straps differently and I just look lopsided. I’m so upset. Can I get an implant done now to even out? What can be done??! 😭💔

Procedure: Breast Reduction
Location: sayreville, NJ

Replies 7

Ellis Tavin
ASPS Surgeon
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You should go back to your surgeon as you make have a seroma (fluid collection) in your left breast that is making it larger.

Samir Shureih

You are very early to make any plans for revision surgery.

However as Dr Tavin advised you need evaluation by your Board Certified Plastic Surgeon just to make sure there is no Hematoma or seroma or even just swelling.

Sonogram will help in the diagnosis.

If all is OK, then will evaluate in 6 months and then you have many options to equalize the size of the two breasts depending on your desire.

Rahul Vemula
ASPS Surgeon
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Thanks for posting the pictures.

It is understandably upsetting to see asymmetry or un even appearance right after surgery. However being only 2 months from surgery, things are still settling and its too early to consider revision surgery.

What is concerning is the sudden increase in size. I would return to your operating surgeon for an examination to see if you have any fluid collections.

If a revision needs to be done, I personally wait 6 months to 1 year from the date of surgery to perform this.

Best of luck!

Chao-Chuan Wu

You can do the breast reduction on the left side again.

Nelson Castillo

Thank you for sharing your question and photographs. Still will need to allow at least another 3.5 months to pass to see your long term results at which point a revision procedure can be entertained. That said, I would discuss with your surgeon to ensure all is healing well.

Alfred Antonetti
ASPS Surgeon

There is always some difference before and after surgery as well and would be nice to compare with your preop pictures. From the looks of your pictures it seems that you are still very large. Perhaps you wanted to remain very large?? At any rate, there is a little more difference than we would like but it is too early to do anything and things will heal and change over the next few months. An implant on the right side is going to cause a lot of trouble and I would not do it at all. What the best you can do is to stay in touch with your board certified or eligible plastic surgeon and perhaps have a revision with removal of more tissue from the left side in a few months.


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