Square shaped breast & nipple higher than the other, will I need a revision? (Photos)

It appears that your right implant has stretched the lower part of your breast and this makes the nipple appear higher. With you arms up as you have in the photo, this position gets exaggerated. I wonder if the implant looks this low when you have your arms down. Nonetheless, if your are unhappy with how they look you could seek a revision. You may need to downsize your implants, or consider a device with a narrower diameter to put less stretch on the lower part of the breast. A capsule repair (capsulorrhaphy) with some reinforcement (such as Galaflex) is what I would recommend to reposition the implants higher so the nipples looks lower and more symmetric.

It's difficult to know for sure based on one photo but it does look like your implants may have migrated down too far - commonly referred to as bottoming out. This causes the nipple to appear to point upward and you loose upper pole fullness. They both look too low but the right has also lateralized.
A revision with capsulorraphy or tightening of the pocket with or without internal bra mesh would likely be the best option to give you a better breast shape.
Discuss with your plastic surgeon. If they aren't responsive to your concerns get a 2nd opinion. I offer virtual consults as well.

Hello,
Thank you for your question.
At 11 months post-op, the appearance of one implant sitting lower (with a higher nipple) and being more square or boxy in shape suggests a likely inferior implant malposition or bottoming out on that side. This happens when the implant drops lower than intended, often due to weakness or stretch in the lower pole support (in the tissue or implant pocket). The other side, appearing more natural and better positioned, highlights the asymmetry even more.
You should definitely have this assessed by your original surgeon or a board-certified plastic surgeon experienced in revision breast surgery. Bring up:
Timeline of changes (when did you first notice the drop?)
Implant type, placement (subglandular/submuscular), and surgical notes if available
Concerns about long-term symmetry and aesthetics

However and in spite all the photgraphic bias, seems both implants are bottoming out and set too low; this may need repositioning, eventually switching to bio-velcro (polyurethane coated) implants and applying a multipoint capsulorrhaphy to create a new submammary crease.

An experienced revision mammoplasty surgeon can help you.

Thank you for your question. Could you please provide better quality pictures to include both breasts. If the implant in question has settled lower the nipple complex will appear higher on that breast. This can easily be corrected with revisional surgery.

Your left breast implant has descended too low. It’s called “bottoming out”. You’d need a surgical revision to correct it. Good luck!

Thank you for submitting your questions and photo. I’m sorry you’re experiencing some breast asymmetry after your augmentation. This is not a huge cause for concern, BUT, if the asymmetry and implant position bothers you, it may be worth undergoing a revision. This could include reconstructing the breast folds so that they are both symmetrically rounded and higher on the chest. This will allow the nipples to face more forward and sit more evenly. I highly recommend you see a board certified plastic surgeon to discuss your options. Good luck and thanks again for reaching out!

Thanks for your question. It's hard to accurately judge implant position from a photo with your arms over your head - it moves the breast up and always makes the implants look low. Having said that, if you are almost a year out and have an asymmetry in implant position then yes, you will likely need a revision to correct the issue. It sounds like one or both of your implants have bottomed out and are too low, resulting in a high-riding nipple. The corrective surgery is straightforward -- a capsulorrhapy is a tightening of the capsule at the bottom of the pocket, and will move the implant up into a better position. This can be done with sutures alone but can also be reinforced with mesh, depending on your tissue strength and surgeon preference. You should start by contacting your surgeon so you can voice your concerns. Best of luck-

Thanks for your question! It would be more helpful to see a photo with your hands at your sides. However, you do appear to be bottomed out. The only option for correcting that is surgery. I would suggest an in-person evaluation. Good luck!

Thanks for your inquiry, a picture with your arms by your side would be helpful vs straight up. In general the question of "needing" a revision is different than wanting a revision. What I mean is the low position of the breast and its shape is not going to correct on its own over time. Please discuss your concerns with your surgeon.