Breast augmentation top surgery, previously referred to as MTF top surgery or MTF breast augmentation, is a common procedure that comes with its own set of risks, including breast asymmetry. In this article we provide information on the common causes of breast asymmetry such as temporary swelling and post-surgical complications, including seroma and hematoma formation. Our goal is to help you understand the potential risks of you gender confirmation surgery and how to best address them to achieve your desired top surgery results.
Asymmetry is a common risk for anyone undergoing breast augmentation. If you notice asymmetry, the first thing you should do is consult with your surgeon to determine the cause. In most cases, asymmetry is only temporary, but in rare instances it may be the result of a post-surgical complication.
Residual swelling can last for a month or longer following breast augmentation. Once swelling has subsided, the breast implants will begin to settle into a lower position. They may, however, settle at different rates, resulting in a difference in appearance. Your breasts will gradually settle over the course of 3-4 months, but it may take up to 8 months before your implants are finished settling. Our surgeons generally wait 6 months to a year to determine if a revision is necessary.
In cases where asymmetry persists, revision surgery may be necessary to improve implant placement. If you have asymmetry as a result of a previous surgery, you can schedule a consultation with one of our surgeons to discuss a revision procedure.
While minor asymmetries are common, anything significant may signify a post-surgical complication and should be reported to your surgeon. Some of these causes of asymmetry include:
Seroma – A seroma is a pocket of watery, yellow-colored fluid that may appear after a breast augmentation procedure. Seromas are usually a minor complication – more of an annoyance than anything else. Small seromas will often resolve without any treatment. Larger ones will need to be drained using a needle and syringe, under local anesthesia. The best way to reduce your risk of developing seromas is to carefully follow your surgeon’s post-surgical care instructions.
Hematoma – A hematoma is a pooling of blood that can accumulate around the breast implant after surgery. In some cases, hematomas resolve without any surgical intervention. Other times, they may require surgical drainage. The overall risk of developing a hematoma is lower than 2%. To minimize your risk, avoid taking blood thinning medications such as aspirin at least 2 weeks prior to breast augmentation and avoid strenuous activity during recovery.