Developing deformity / flat part, 7 mo. post-op. Is this a sign of capsular contracture? (Photo)

Any concerns regarding the possibility of capsular contracture should be discussed with your surgeon. He or she would be able to examine your implants and make a more definitive diagnosis. Treatment options can also be discussed at that time

It is likely you have capsular contracture. Not only do you have a flat spot under the breast, but your upper pole is much fuller on that side compared to the other.

Thanks for your question and photos. The short answer is that you might be developing capsular contracture. Typically, the first sign is firmness, but distortion could also represent the first signs of contracture. I recommend that you return to your surgeon and discuss your concerns.

Dear jinkies,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Several possible phenomena may explain change in augmented breast shape months after the procedure. Yes, one of these is peri-prosthetic fibrosis (capsular contracture). Contracture is often localized to one or more areas around an implant more than others which may cause firmness in that area or an eccentric shape that was formerly round. Effect of the pectoralis major muscle on the implant may also change implant shape over time, and of course instantly with muscular contraction. Newer highly cohesive implants are more solid than implants of the past, and when compressed by a bra or tight clothing may maintain that shape for a period of time until compression is released for a while and the implant will return to its round shape provided the capsule accommodates this. Shape change or flattening on one area of the breast may occur upon rotation or displacement of shaped (form-stable, or "teardrop") breast implants, but this possibility doesn't apply if yours are round. Newer double lumen saline implants (IDEAL) may change shape and lose a small amount of volume upon deflation of the outer lumen. Simple resolution of swelling may change the apparent shape of your result months after the procedure. If you're wearing bras that push upward and inward on the lower outer portion of the implant, this may elevate and flatten the lower outer portion of the implant and re-shape and re-position an inframammary fold that was shaped at surgery to accommodate the round implant.