Q: Does capsular contracture of breast implants have an end point?
Unfortunately the short answer is "yes" capsular contracture does progress. Capsular contracture is most commonly graded by the Baker scale and follows these criteria:
Grade I: The breast is soft, appears normal and the capsule is soft and flexible.
Grade II: The breast looks normal, but is somewhat hard to the touch.
Grade III: The breast is hard and has some distortion caused by contracture, often having a more rounded shape.
Grade IV: more advanced than grade III, often involving severe hardening of the capsule and pain.
Capsular contracture progresses through the grades, although some drugs have been suggested to stop or prevent this. I have only ever seen progression, although normally very slowly over years, and I normally only suggest surgery for grades III or IV. There is no grade beyond IV, but even within this grade the breast can become harder and more painful, but I guess there must be a final end point at which no further contracture can occur.
Q: Are my breasts tuberous? (Photo)
thanks for sharing your photos which do show a surprising amount of difference in the projection of you areola in profile between when your breasts are warm and cold. I can see why you ask if this is a tuberous breast deformity as herniation of breast tissue is a feature of tuberous breasts, but really needs to be combined with lower pole constriction which you do not have. A periareolar procedure may be able to improve this by tightening up the areola skin and tissues and prevent the herniation, as long as you can accept a scar around your areola. Alternative you can expand up the rest of your breast tissue through having a breast augmentation, and this can often be effective it making the herniation less visible. The advantage is a much smaller hidden scar, however you already have a nice breast shape (certainly when cold) and may not want to go larger!
Q: Flank lipo revision needed? (Photo)
It is difficult to say without saying a preop photo or being able to examine you directly. You have a very neat scar and a nice contour. I am not sure you tight the band of your trousers are around you waist, but if they dig in then this will always leave a bulge above. At 7 weeks there will still certainly be swelling, and also the skin will not have fully contracted, so I would recommend you wearing your compression garments for longer. A standard tummy tuck like this is more a downward than an inward pull. Repairing the muscles does bring the flanks in somewhat, but if there was a relatively thick layer of fat between the muscles and skin this will leave you with some loose tissue following liposuction even after full contraction. Options to completely reduce the looseness in the flanks would be to have a flank reduction or a fleur de lys abdominoplasty, which in your case would leave unacceptable scars in my opinion seeing as you have a very pleasing result.
Q: Will a tummy tuck get rid of my pooch and help me get more defined abs? (Photos)
A tummy tuck will certainly flatten your abdomen and improve the contour. If you have strong abs and little overlying fat then they will be more visible. An alternative is to have etching liposuction to in a fashion to accentuate the appearance of abdominal muscles.