1 year post-op & breasts still have very round appearance in cleavage & upper pole, capsular contracture? (Photo)

It appears your breasts have capsular contracture. It appears the implants may be in front of the muscle not behind. You will need a revision with possible removal of capsules and replacing the implants in a different pocket.

Best Wishes,

Gary Horndeski, M.D.

Hello and thank you for posting! It seems like your implants have stoped settling and one is higher then the other. Implants under the muscle are a great option especially for patients like yourself that do not have a lot of breast tissue to cover the implants, but one of the draw backs is that they sometimes settle a bit too high. Even after a year, they can eventually drop with massages, and/or varios other techniques you can discuss with your plastic surgeon so there is no need to rush into surgery yet.

This may happen because the pocket is a little tight so the implants just dos not drop as much as it should and sometimes this can be due to a capsular contraction. This impossible to determine without an in person evaluation though.

Capsular contraction is associated with stiff / hard breasts. The capsular contracted breasts may eventually be deformed and even become painful when manipulated. This does not seem to be your case.

I would guess your high implant position is probably due to a small pocket and/or strong pectoral muscles holding on to the implants. The good news is, treatment for both would be the same and is fairly simple Pocket Revision with or without Implant Exchange.

Best of luck,
Dr. Miguel Mota

You may have a capsule, especially since it does not feel soft. I suggest going back to your surgeon and being examined.