Is the vertical pleat in the middle of my belly going to improve? Will my breasts even out? (Photo)

You belly looks very good.  Give it some time and it will look even better.  Your breasts do have some asymmetry.  Although I normally advise patients to wait full 3-4 months for implants to settle, from your pictures it seems like the asymmetry is too noticeable for 10 weeks after your surgery.  Speak to your surgeon to get an idea of what to expect.

The abdominal muscles known as rectus abdominus normally bulge on either side of a midline depression known as the linea alba (white line).  The umbilicus (belly button) sits in the middle of that depressed white line.  When the excess fat and loose skin are tightened during an abdominoplasty and the belly button is anchored correctly, one sees a depressed white line which gives the abdominal wall an athletic look and is very attractive.  Therefore, hopefully that midline depression doesn't go away since it is a positive and not a negative.With reference to your implants coming down at a different rate, this is a very normal phenomenon and, in fact, it would be unusual to see breast implants settle at exactly the same time.  It appears your plastic surgeon did an excellent job.  Kudos for picking him or her.

A mommy makeover is a big procedure and does take a long time to finally recuperate from. Most people also go through emotional ups and downs regarding their results and their feelings about surgery. Don’t be too hard on yourself or too critical yet. It’s a little difficult from your photos to tell details, but overall things look pretty good. The crease or fold on the upper abs midline actually is a good simulation of the normal muscle attachment in that area. It should look very natural once you are healed. As for your breasts the right implant does appear a little higher – it looks like the left has fallen/settled but the right has not yet settled down. Most likely when this comes down the shape and the volume will look more symmetric. I am sure you will be seeing your plastic surgeon in the next few weeks. If it has not resolved by then just make sure and point out the difference he/she may want to start some massaging or something similar to help it move into position. Keep positive and be patient!

The 10 weeks there still a substantial amount of swelling after and abdominoplasty. Is this subsides you should see improvement in the vertical crease.

At 10 weeks post op there are still changes ahead. Swelling is still present and your tummy should even out as swelling subsides. There is some asymmetry in the breasts, but without more information it is difficult to comment on if it is a concern. I recommend speaking to your surgeon about your questions. It is important that you feel comfortable and confident during your recovery.

Thanks for your questions and photos.  Your tummy tuck result is fairly good.  The "vertical pleat" is normal; your plastic surgeon may have created it on purpose.  Based on your photos, you do seem to have some asymmetry between your breasts.  Your breasts and implants will continue to settle in next 1-2 months.  If you continue to have asymmetry in couple months, please discuss with your plastic surgeon regarding a revision surgery.  Good luck.

To both issues posted my response is no. The breasts are at full recovery in my opinion. And the vertical creasing effect is related to the diastasis. 

10 weeks is still early to evaluate your final results.  The "pleat" in your abdominal wall is actually a normal part of every person.  We even accentuate it sometimes in a tummy tuck, which is what your surgeon may have done.  At 10 weeks, you are still swollen and this will likely smooth out in the long run.  Have you asked your surgeon about the breasts? It is normal to have some asymmetry.  It is difficult to tell from the photos what is happening.  It is possible that there will need to be a revision, but it is really to early to tell at this time.

Overall it appears that you have had a very good initial result from your mommy makeover.  At 10 weeks it is still early and I believe your  concerns about breast asymmetry and the abdominal pleat will resolve as you continue to heal.  I would wait at least 6 months before considering any revision, but in your case I don't think one will be necessary.  Best wishes.