After op- Asymmetry, bottoming out, 2nd opinion.

Hi girls

I have seen with my surgeon and as I supposed he said I have small asymmetry
but this is how it should be!

From the start, I am 10 weeks after op and basically from first or second week
my right breast starts to look funny. Higher nipple and dropped lower then
left. Crease is higher (layed on the breast) not where breast fold underside.
Also is empty above the nipple and full below.
Left is quite ok, but really small ( B cup)
Before my app today, I have read loads of still, seen many pictures before and
after op, and finally have found that woman having breast like mine suffering
with " bottoming out". I have also burning sensation on my left and
sometimes like some needle would "pinching" me.

So I told my surgeon about my worries and at first he keep saying that they
look ok, then he said that this is how the implants look after surgery and then
when I started telling him that I have read a lot, seen pictures and mine look
the same as bottoming out and are asymmetrical, he said that I was asymmetrical
before!!!! That no one has perfect breast and this is great result! What a
bull****. I was sooo upset.

I told him, that I was flat but not asymmetrical (thanks good he had my pics
before op in system) so he started convinced me that my nipples was asymmetrical
before! First time I have heard this from him, never was mentioned (believe me,
I wasn’t asymmetrical).

I told him that my breast are uneven and I don’t want to look like that because
even by using normal bra, my right nipple is showing off, as it is so high. He
became quite upset, as I didn’t let him to put me of.

I also requested second opinion, and he book appointment with one of his colleague,
who work at the same hospital.

I am sooo upset that he actually confirms that my breasts are uneven, but he didn’t
agree that they need correction! Probably waste of money for him!


I want to also book few independent consultations, to have few opinions, as his
colleague may have the same opinion (if you know what I mean ...).


Any of you have had similar situation like mine? having asymmetry after
operation and not have been offered correction? I look even worse now than
before :((((

Sorry for essay, but I am soo disappointed :(((

Oh no hunni im so sorry your not happy xxxx

Wat company did you go with?

What is their aftercare policy if your unhappy with the outcome?

k xx

David Lam , Sheffield

Ge is private surgeon working for NHS as well.

I dont have any info regarding being unhappy and reoperation :( Especialy that for him asymetry like mine is normal :( Probably he doesnt want to take resposobilities and "waste" money on me :(

You said that you were not asymetrical before the op and that you had pics of you before the surgery, can you take them with yoou to the other consultations?

Out of interest was it like this from the word go? I mean did they look wrong right from the start?

On the net it seems to say that bottoming out mainly happens when the implant is to big or because you have strenuous hobbies, running, horseriding??

Other than that it says that it could be because the surgeon has moved the crease of your breast or put the implant in in the wrong position.

Have you re-searched it hunni?

I dunno if this is true as ive just been looking around. xx

Anyway babe you cant let this lie if you are unhappy xxx

Have you got a revisions policy?

On mybreast website its called Implant-induced asymmetry, and says that they would address it

Try not to panic im sure you can get it sorted.

Whens your nxt app?

k xx

Thanks K

well he has photo in his computer and he showed me these. they look ok for me, not noticable asymetry whatsoever.

he obviously argued that I had asymetry before, nearly invisble, but when implant has been placed then this asymetry is now more visible!

Then he took piece of paper and sticked to computer screen awry, pointing that my right nipple was higher thinking that I wont notice!!!

So nasty guy! I really expected something else!

what was he like with you before you had the op at your consultation babe?

maybe you need to speak to cookie, i know she had alot of issues with her first BA bt managed to get it sorted x

kxx

Hey hun xx

I suffered with bottoming out and it has taken me 3 years to get sorted out xx

[You must be registered and logged in to see this link.] is a link to my diary which you may find helpful xx

Although it's taken a while and 3 ops, I am all sorted now, apart from scarring from previous ops, so there is a happy ending xx

Kay do you have any pics to show how your breast looked like with bottoming out?

Cheers
Xxx

I do but I don't share them, nothing personal, I just don't feel comfortable with sharing my pictures, hope you understand xx I am more than happy to look at any photos you have of yours and tell you whether or not they have bottomed out if you like? xx

You have definitely described Bottoming out hun xx When it occurs early on it is generally due to surgeon error and over dissection of the pocket xx

I had very bulbous breast in the lower pole, the bottom half of the boobs, and my areola and nipple were very high and every bra I wore my areola could be seen beyond the fabric, this is called 'setting sun effect' there was no upper pole to speak of, it was as though the implant was all in the bottom of the breasts xx nipples did not sit correctly in any bras xx

This also caused a degree of symmastia, raised skin in between the boobs xx

Bottoming out is notoriously difficult to fix, however it can be fixed by someone with the correct technical ability and skill xx

Your PS or the company you used SHOULD be footing the bill if you noticed it almost immediately after surgery and you are unhappy with the result xx

A degree of asymmetry is normal however nipples / areolas that are not central is NOT normal and should be corrected xx

Bottoming out can occur due to the size of the implant, ie it is too big and heavy for your skin, however this would occur after a period of time (years) and not within the first year xx Also I would still argue that this was surgeon error if they decided on the implant size in the first place xx

You are not alone hun xx and you can get through it xx feel free to ask any questions xx

I will PMs you x

I have uploaded few photos, if any of you want to have a look just pm me.

xxx

Hey hun xx

Thanks for letting me take a look at your pictures xx

Your right breast has definitely dropped a lot more than the left and looks as though it is a completely different size, something that can be addressed with different size implants if necessary at the time of surgery xx The right areola and nipple is definitely not in the right place as it's pointing more towards your underarm and is not central xx definitely lost the upper pole in the right as well xx

There is definitely something not right xx And I think you are perfectly within your right to request a reop to fix whatever the issue is xx

As you are only 10 weeks post op, your PS will try to tell you to wait for a bit to see how things change as it can take up to a year for you to see the end results, however I can see why you are dissatisfied and upset, and I would definitely make sure that you pursue them to foot the bill for any corrective surgery xx

When is your second opinion? I would wait for that and see what that surgeon says before going to an independent surgeon xx

Sorry that you are going through this xx it's awful when you have not got a decent result xx

Hope that helps xx

They look terrible, dont they?

the most upsetting thing is that doctor disagree with me completely and says that this is normal and this is how they should look!!! that this is the best result i could achieved :((((

I think, that for me it will be long way to re-op take place :(

Other thing is kay, mine boobs has been done on NHS so it probably complicate my case twice as much.

And please anyone, dont think that I should be happy anyway because I have had them for free as no of you would like to stay with so uneven breast as I have now :(((

Thanks a lot kay for your opinion xxx

Hi eve I would like to take a look if that's ok, as Kay said bottoming out that early on is surgeon error, as you know it takes months and months for implants to settle in there place it sounds as though yours has dropped in 10 weeks so over dissection as Kay said must have caused this however I'm no expert but this is a problem that I have been researching for ages im going on what I have read. Am I right in thinking you get given what your told to have be a surgeon on nhs not what you choose, if this is the case it's not like you chose to have a large implant against what the surgeon recommended etc.... Because you have only had them 10 weeks they will have a lot of changes to go through as yet and by the sounds of this it may get worse the longer they leave it to be rectified. Did you have tuberous breast, or some sort of breast deformatiy before you had your op, as you were nhs what was the reason you needed it?

Hi

I have send you pasword and username x

before operation he asked me only to do rice test and thats it. I havent been even asked about projection and profile ( he didnt even discussed this with me)... I didnt know what type of implant i will get apart from size 325cc.

I have had bilateral breast issue, nearly completely flat after 2 pregnacies.

I was absolutely even before operation, no other problems apart from not having breast tissue etc.

Hi just seen the pictures YOUR right implant is a lot lower, also looks a lot bigger, the scar isn't in the crease of your breast the implant has dropped further down below the crease, looks like surgeon error to me, the scar on your other breast is that right on the crease???? also nipple alignment is not right either. I would be very unhappy with this result. What was your breast size pre op and what size implants did you have? I would get second opinions on this ASAP, the sheer weight of the implant can make you bottom out over time but not this soon, the surgeon may say wait so many months etc... But the longer it's left the further I feel it will drop. I am no expert and I'm sure there are other girls on here that possible give you better advise and correct me if I'm wrong. Xx

Ignore my questions regarding pre op size and implant size. Xx

Thanks Beej for your opinion x

Like I said , I am not happy and thanks you girls for your honest opinion xx

Before operation I had 34a/aa, and implant as far as I know 325 cc natrelle, 440mm( moderate, moderate)

I am sure that my nipples was even before as hospital has pictures of me.

My doctor (surgeon) doesnt advice me to wait any longer , as for him I am ok, and that is it of our breast"journey". No futher appoitment advised. He tried to be polite, but at the same time rude and very nervous.

I am sooo unlucky girls :((((

He sounds like an ar** hole trying to get out of it, dont know what advice to give you, don't think any of the breastbuddies surgeons are available to comment. Have you been to your gp that referred you? Can you get consultations with private surgeons that also work on the nhs to give there opinion in writing, it would help if you have a paper trail of evidence and back up in your case, your gp should be able to give you advice on this, or even a private surgeon should be willing to give you advice on how to move forward with it. Xx

Regardless of whether or not on the NHS there is issues with the result achieved and they can't just leave you like that....... xx

Go back and see him again and tell him that you want it putting right or write to whoever agreed your surgery and tell them you are very unhappy with the result and that they are worse than before and demand to see someone else about it xx

I'm not sure how the NHS work however I certainly wouldn't accept that as an end result and would be looking to get revision surgery ASAP if I wasn't happy xx

Whoops hit send to soon.....

....it's not just private surgeons that can be on the receiving end of complaints and have to put right botched work, surgeons who do work on the NHS are not exempt! xx

He was very upset when I requested second opinion. Finally he referred me to one of his college( who also working on Nhs as well as privately) .

I know that he can be his "friend" and says exactly the same, as they usually stick together, hence I have booked independent surgeon too next week. I don't know how long will I be waiting for second opinion appointment, knowing Nhs it will be good few weeks.

I am scared also as I have burning sensation and pain like someone put needle in my breast.

kay wrote:Whoops hit send to soon.....

....it's not just private surgeons that can be on the receiving end of complaints and have to put right botched work, surgeons who do work on the NHS are not exempt! xx

Kay i totally Totally agree, most private surgeons work for the nhs anyway. Just don't know what procedure that goes with complaints it's not like they give you aftercare package is it. Good luck eve xx

Burning sensations and pins and needles and strange sharp shooting pains are all perfectly normal at 10 weeks PO xx Keep an eye on it though and if it starts to become constant / swollen / looking strange then go to your A&E department xx