One Implant Still High 10 Months Post-Op – What would revision involve? (Photos)

Hi doctors, I’m a 32-year-old female, 5’3”, currently 153 lbs (197 lbs at the time of surgery). I had a primary breast augmentation on August 1, 2024, with 520cc high-profile silicone implants placed under the muscle. I’ve previously breastfed. Ten months post-op, only one implant has dropped and fluffed. The other remains noticeably high, firm, and tight. I’ve been doing daily downward massage and recently began wearing a compression band consistently, though I wasn’t strict with it early on. Unfortunately, there’s been no change. My surgeon ruled out capsular contracture and suggested the issue may be due to tissue restriction or a tight pocket. I’m concerned this could be superior malposition from high pocket placement. The asymmetry is clearly visible, especially in fitted clothing. I’d really appreciate insight on: • Whether there’s still a realistic chance this implant could drop naturally at this point • If this sounds like a pocket placement issue • What revision would likely involve—pocket release, internal sutures, mesh, etc. • And whether this type of revision is typically covered or discounted if related to surgical technique Thank you so much for your time and input! I want to be well-informed ahead of my next consult.