Is this capsular contracture? Pain on the right side of my right breast 2.5 years post-op. (photos)

From the pictures it has the appearance of Cap Con and your discomfort is likely related to that. Treatment is implant replacement, and usually capsulectomy.

Good afternoon!It certainly could be a CC- it does sit higher than the left, and the pain often accompanies a CC- the correct approach would be capsulectomy, implant exchange, Vitamin E, Singulair, massage postop and antibiotics.

Dear BR26,
I understand your concern. Capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Costochondritis is an inflammation of the ribs and is very similar to tennis elbow.  It can occur where the rib meets the breastbone or where the bony portion of the rib connects to the cartilage portion of the rib.  The inflammation can be quite painful and can even mimic the pain of a heart attack.  It is quite common, especially in women who have breast implants.The breast implant rests on the chest wall and is constantly rubbing over the ribs.  Even when your are breathing, the ribs are moving and causing irritation between the implant and the rib.  This constant motion causes inflammation and pain, not an infection.The treatment consists of immobilization, anti-inflammatory medication, analgesic medication, and restriction of physical activity.This is my recommendation to help alleviate this condition:Wear a good supportive bra 24 hours a day, 7 days a week for 2 weeks, and stop breast implant massage.Take a strong prescription anti-inflammatory medication for 2 weeks; I usually recommend Relafen, 500 mg, twice a day for 2 weeks.If analgesics are needed, try over the counter medications such as Aleve, Advil, or Tylenol.  If a stronger medication is needed a prescription narcotic can be substituted.Restrict all physical activity on the side the costochondritis is occurring on for 2 weeks (i.e. weightlifting, vacuuming, and heavy lifting).If after 2 weeks the symptoms have not totally resolved, then repeat all the therapy for another 2 week period.If at the end of 4 weeks there is no improvement in symptoms, please contact your plastic surgeon.