Dear Boobies4Me,
The clarity of the picture is a little difficulty to tell, but typically a stitch spitting up will look like a small whitehead and when you are able to see the material, you can pluck it out. You should at least contact your treating surgeon with photographs and e-mail.
I don't think it will help that much. Breast implants or fat is what is recommended. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with. Finally, make sure your surgeon is a Double-Board Certified Plastic...
This may be just differences in the thickness of tissues or the strength of the underlying muscle. The most concerning thing might be a capsular contracture. Your surgeon should be able to examine you and give you recommendations.