Breast Implant Never Dropped? (photo)

Thanks for your pic and ? It does look like you have a slight asymmetry. Without seeing your preoperative pics it is hard to say if this is a difference in healing or an asymmetry that was present at the beginning. Implants can ride high also if the muscle has not been completely released. After 10 months the implant position is not going to change much. With regard to a capsular contracture, this would suggest that the scar tissue is abnormally firm. You will need to discuss these things with your plastic surgeon. It could be that all you need is a release of the capsule and muscle. Best of Luck!

If you can detect a difference in the firmness of your breasts, especially if it's the left one that's firmer, then most likely you have some degree of capsule contracture.  The classic findings in the case of capsule contracture are firmness of the contracted breast and upward displacement of the implant.  Capsule contracture is not a dangerous thing, and in the vast majority of cases it is mainly an aesthetic issue.  That is to say, that it is not a health or safety concern, rather nothing needs to be done about it unless you don't like the way the breasts look or feel.  Like most things, capsule contracture occurs along a spectrum, and some are worse than others.  Yours looks relatively mild from photos, but if you wanted to attempt to improve the symmetry of the breasts and the feel of them, then you may need to have the capsule removed and the implant put back in.  This is not a complicated procedure, but it is another surgery.  I generally don't like the idea of simply cutting the capsule, or capsulotomy, as a means of loosening it, because in my experience, the vast majority of those recurred.  We aren't sure why capsule contracure occurs, but we believe that in a large number of them there are bacteria involved.  Not that there is a frank infection, but if the capsule is left in there, then so are the bacteria, and one would expect a high likelihood of recurrence.  I do capsulotomy when the capsule is soft but the implant just needs to be lowered, but this is different than the case with firm contracture.  You should go back and see your surgeon and discuss your concerns with him and get his impression.