Did my implant flip? (Photo)

Although it is clear that your breasts have a different shape, it is difficult to get a sense of what is going on. Assuming you have round smooth implants (is that correct?), rotational changes would not have any effect on implant shape. It would be highly unusual, if not impossible, for this to be a front to back flip of a round implant; this is much more common with implants sitting in an old or overly spacious pocket, which you clearly don't have. Which reminds me, I don't think it would be a great idea going larger either; you appear to be filled to the brim. If you chose a busy breast surgeon, he or she should have a high resolution ultrasound in his office to quickly see your implants and see if there is a fluid collection (one looks much larger in the photos) or flipped implant. BTW, I've never seen a garment have any effect on the implant pocket shape or size. In all likelihood, this is a capsule related issue, i.e. capsular contracture.

An accurate diagnosis cannot be made from these photos alone. Proper assessment and treatment recommendations for your asymmetry would require a physical examination at minimum, and possibly imaging including an ultrasound. I would suggest beginning by returning to your surgeon for further information. A second opinion with a board-certified plastic surgeon may also be an option.

I am not a fan of textured implants for augmentation because of more risks, including flipping and not flipping back. Your pockets can be adjusted once the implants are properly positioned. I would suggest not going larger.