Do I have capsular contracture even if my breast is not firm or painful? I am 2 months in, but my right has dropped a lot.

Unlikely you have capsular contracture, but an in person evaluation by your surgeon would give you a definitive answer. At 2 months you are about 50 percent settled, shaped, softened, dropped and fluffed. "Drop and fluff" refers to the fact that as the skin stretches and the muscles relax, the implants move down and out slowly – about 1 percent a day. It’ll be about six weeks before they even begin to settle down, but they’ll be close to 80 percent settled and softened at three months. Watching their progress is like watching your hair grow. You don’t see a difference in your hair growth daily, but all of a sudden you need a haircut. 
Be patient after surgery. Give yourself a few months before making a judgment about your surgical results. You won't know the outcome until then. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

hello thank you for your question and provided information as well..based on the photos and your question, to solve capsule problems, the ideal is that you are consulted by a certified plastic surgeon, who evaluates the degree of capsule, and possible surgery to change the implant and placement of polyurethane prostheses.

Your breasts look nice for two months, I see nothing abnormal (aesthetic asymmetries are the normal human condition).  You're still healing, and capsular contracture is an entity that develops over time.  You and your surgeon are doing everything possible to prevent it, so please do not worry or be anxious. 
Only time will tell:  if your breasts continue to soften and settle, you do not have worsening contracture.  If one of them does not settle, you either have contracture or malposition.  If one or both become more firm and/or distorted over time, you likely have contracture, which is treatable.  Relax, follow your surgeon's instructions, communicate regularly with your surgeon, and ENJOY your new look!

Thank you for your pictures and questions. Without an exam, it is hard to make a diagnosis, but it is very unlikely that you have capsular contracture. You are only 2 months out from surgery and with large implants like yours, it can take 3-6 months for the implants to settle into position. If your surgeon is board certified by the American Board of Plastic Surgery, then follow his or her instructions closely. If your surgeon is not, then consider a second opinion by someone who is.Best of luck!

Hello, it is difficult to comment on capsular contracture based on a description.  Typically a breast with implant contracture is firmer, might have a different shape, and could be achy or painful.  You would need to have a proper examination by your surgeon to determine whether the implant simply has not dropped, if there is an abnormal capsule, or some other issue.

Hi MGBigBoobJourney,

Capsular contracture is a breast augmentation complication that develops when internal scar tissue forms a tight or constricting capsule around a breast implant, contracting it until it becomes misshapen and hard.

It would be best to visit a board certified plastic surgeon for proper assessment. Only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

Your physician has made excellent recommendations as far as correcting this issue.  I would give it another 4 months to allow an appropriate time for the implant to settle on its own.  If there is no improvement by then I would return to the operating surgeon for an examination or get a second opinion from a surgeon closer to home.

It is very unlikely that you have a capsular contracture if your breast implant is soft and you are early in recovery of 2 months. Capsular contraction rarely appears before 6-7 months after surgery. The issue may be that the implant pocket on that side was done made as low as the one on the right. However I expect that you are implant will continue to drop. If after one year the implant is still not at the same level as the right a small pocket release may be necessary. However I would wait at least a year before considering this.