8 months post op, one breast is harder than the other. What could be causing this?

Thank you for your question!

Often times implant firmness can be a result of a capsular contracture. It can also cause the implant to be higher and/or a different shape. A capsular contracture occurs when the scar tissue surrounding the implant becomes hard and contracts. This can be painless or painful. Capsular contractures have after often times believed to be caused from genetics, a hematoma/seroma, or an infection/Biofilm. An implant removal and capsulectomy is necessary to address a capsular contracture. The capsulectomy removes the hard, contracted scar tissue surrounding the implant.

To be sure, see two or more experienced, board-certified plastic surgeons in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have Implant Removal with Capsulectomy. I hope this is helpful.

Firmness in the breast following augmentation may be a symptom of capsular contracture. The timeline you presented is not atypical as the majority of capsular contracture would occur within the first two years following surgery. It is best that you contact your surgeon to be evaluated.

You probably have developed a capsule which is causing the implant to feel harder. Go see a plastic surgeon in your area to discuss trying Accolate and external ultrasound treatments to help soften the pocket. Your lifting may have caused some bleeding which can increase the risk of capsule formation.