Uneven implants after augmentation — one sitting higher, one projecting more, or a visible size difference — are among the most common revision concerns Dr. Tachmes sees. The fix requires identifying the structural cause, not just swapping implants. Dr. Tachmes has diagnosed and corrected post-augmentation asymmetry for over 32 years in Miami Beach.
Submit Your Case for Dr. Tachmes' ReviewOr call Dr. Tachmes directly: 786-603-9074 — no coordinators.
No two breasts are perfectly identical before augmentation — and the surgical factors that determine where implants sit, how they settle, and how they project can amplify even minor natural differences. Post-augmentation asymmetry is one of the most frequently cited reasons patients seek revision surgery.
The asymmetry may be obvious immediately after healing or may develop gradually as implants settle unevenly over months or years. One implant may sit higher than the other, one may project more prominently, or a visible size difference may emerge that was not present in the original augmentation outcome. In some cases, a developing capsular contracture on one side begins to distort position while the other side remains normal.
What makes asymmetry correction complex is that the visual mismatch is a symptom, not the diagnosis. Correcting the appearance without identifying the underlying structural cause leads to the same problem recurring. Dr. Tachmes conducts a systematic evaluation of both sides — measuring pocket dimensions, assessing tissue coverage, evaluating for capsular contracture, and comparing implant position — before determining the correction strategy.
With 32 years of breast revision specialization in Miami Beach, Dr. Tachmes has corrected asymmetry cases ranging from subtle pocket misalignment to severe positional differences requiring complete pocket reconstruction on one or both sides.
One breast sits noticeably higher or lower than the other.
One implant appears to project more than the other when viewed from the side.
One breast feels harder or is shaped differently — a sign of capsular contracture on one side.
The cleavage gap is unequal or one breast appears to hang medially while the other sits lateral.
Clothing, bras, or swimwear no longer fits symmetrically as it did after surgery.
The asymmetry has worsened over time rather than improving during healing.
Unequal pocket dissection during the original surgery is the most surgically correctable cause — one pocket was created too high, too wide, or in a slightly different position than the other.
Capsular contracture on one side distorts that implant's position while the other side settles normally, creating progressive asymmetry months to years after surgery.
Pre-existing breast asymmetry that was not accounted for in the original surgical plan — such as different nipple heights or natural volume differences — can appear or be amplified after augmentation.
Implant malposition from fold failure, lateral migration, or bottoming out on one side creates a positional asymmetry distinct from a pocket dimension problem.
Before any correction, Dr. Tachmes performs a detailed comparative assessment: measuring the inframammary fold height bilaterally, evaluating pocket borders on both sides, assessing capsular contracture grade if present, comparing tissue thickness and coverage, and reviewing the original implant specifications.
This diagnostic step is non-negotiable. Asymmetry cases where the correction was planned based on visual appearance alone — without understanding the structural cause — have high recurrence rates. Dr. Tachmes does not proceed to surgery until the cause is clearly identified and the correction plan is mapped to it.
In some patients, natural asymmetry that was always present requires a size differential between the two implants to produce a symmetric outcome — a nuanced planning step that most original augmentations skip.
The correction strategy is built from the diagnosis. Dr. Tachmes addresses each contributing cause with a targeted surgical technique rather than applying a generic revision protocol.
If unequal pocket placement is the primary cause, Dr. Tachmes adjusts one or both pockets using internal sutures to close over-dissected areas and reposition the implant to the correct anatomical location — matching it to the opposite side.
When capsular contracture is causing one implant to ride high or feel firm, Dr. Tachmes performs a complete or partial capsulectomy to release the contracted scar tissue and restore natural softness and position before re-placing the implant.
Size-based asymmetry — where the two implants produce unequal visible volume — is corrected by exchanging one or both implants for sizes carefully selected to produce symmetric projection and fill at your specific tissue dimensions.
If differing degrees of ptosis or nipple height contribute to the asymmetric appearance, Dr. Tachmes may combine a lift — on one or both sides — with the pocket and implant corrections to address skin and soft-tissue asymmetry simultaneously.
Recovery from breast implant asymmetry correction is comparable to a standard revision in timeline, though the activity restrictions are shaped by the specific techniques used. Pocket revisions require more protection than simple implant exchanges.
Dr. Tachmes provides personalized post-operative protocols. General recovery milestones include:
Asymmetry assessment at the 3-month mark is important — minor differences in early healing should not be interpreted as a permanent outcome. Dr. Tachmes monitors both sides' settling progress at scheduled post-operative visits.
Surgery duration: 2–3 hours (varies with scope)
Anesthesia: General anesthesia
Return to work: 7–14 days (desk work)
Compression bra: 6 weeks
Upper body exercise: Avoid 6–8 weeks
Full recovery: 8–10 weeks
Final symmetry visible: 3–4 months
Asymmetry revisions are often an opportunity to re-evaluate implant volume on both sides. If your original implants were too large or too small relative to your frame, or if your aesthetic goals have evolved, Dr. Tachmes factors this into the correction plan.
He will measure your tissue dimensions — base width, skin stretch, tissue thickness — and recommend a size range that optimizes both symmetry and proportion. This is done during the consultation, with time to ask questions before committing to a plan.
Every consultation starts with Dr. Tachmes personally reviewing your photos and history — not a coordinator or PA. Submit your case and receive a direct response about your correction options.
Submit Your Case for Dr. Tachmes' Review Call Now: 786-603-9074