12 months post op.. lateral displacement or cap con? (Photo)

Thank you for your question. Based on the photos provided it appears you have a capsular contracture on the right side. This can easily be confirmed by your PS on physical exam. A CC will cause the implant to be higher, firmer and prevent it from settling. I would re consult with your PS.

Thank you for sharing your experience. What you’re describing—differences in drop, tightness, and sensation between the two sides—is something that can occasionally happen even a year after surgery. Breast tissue, muscle tension, and implant pocket formation may progress at slightly different rates, especially when under-the-muscle placement is involved.
The appearance of one implant riding higher or sitting more laterally could be related to how the muscle healed or how the implant settled in the pocket. Muscle flexion causing visible distortion on one side is also a known issue with submuscular placement, particularly if the pocket is tight or slightly malpositioned.
Since you’re still feeling unsure, a detailed re-evaluation—either with your original surgeon or another board-certified plastic surgeon—might provide more clarity. Imaging is not always required, but a physical assessment can help determine whether this is within the spectrum of normal healing or if any intervention (such as pocket revision or capsulotomy) might be appropriate.
We hope your concerns are resolved soon and wish you comfort and clarity as you explore next steps.

Either your implant did not settle like the left side, or you have developed a very early contracture . . . I would favor first given it has been there from the beginning. Nonetheless, revision can help the implant properly settle into the pocket. Thank you for sharing.