American Society of Plastic Surgeons
For Medical Professionals
5 years ago

uneven breasts following surgey

I had breast reduction surgery with a reputable board certified plastic surgeon a month ago .When the bandages were removed I was horrified to find out that the breasts are very uneven.The right breast is visibly larger.Also the scar on the right is much higher on the breast When I discussed it with the surgeon at first he didn't answer then he made excuses and brushed me off.I am devastated.

Procedure: Breast Reduction
Location: Rockville, MD

Replies 3

Gary Culbertson
ASPS Surgeon
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Sorry to hear about your outcome. May I make some suggestions? Breast asymmetry following breast surgery can be somewhat common. Your first month is usually the time of maximum swelling, asymmetrical swelling can be most common in the second month & the third month you get to see the final result. Immediate post operative swelling can be a sign a hematoma or blood deep in the wound. This usually associated with significant bruising. Write down your concerns/ issues (3 max) & bring someone with you to your next post operative visit. If it is not for awhile ask to set up one earlier. Consider getting a copy of your pre-operative pictures, operative report and history & physical from your surgeon, ASC or hospital before the visit. Try to approach the practitioner in an informative but, non-conversational way. Point out your concerns by showing them the result. Consider asking how they would correct your issues. Listen!! Try not to block them out. Best,

Gary R Culbertson, MD, FACS

Shashidhar Kusuma
ASPS Surgeon

Hello Gracie,

While I can empathize with this situation, i also believe that most surgeons would value obtaining the best results possible. From the information you posted, it appears that you are very early in the phase of healing. As long as the immediate concern of bleeding or fluid collection is ruled out, which i assume already happened, the best thing to do is to wait a short while (3 months or so) and continue to discuss a revision to improve the situation with your surgeon. I would imagine as I said that most surgeons would value optimal results and would work hard to achieve them. I know that there could be some cost implications, but these are the sensitive matters I hope you and the surgeon can discuss in a transparent, mutually understanding way.

Jon Ver Halen

Hello and thank you for your excellent question. My best recommendation is to discuss your concerns with your surgeon, and wait at least 6 months before you consider a revision. If, at that time, you are not happy with the answer, then it is certainly reasonable to seek a second opinion. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!


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