Breast augmentation deformation - 13 months post op - capsular contracture or not fluffed yet? (Photos)

At 13 months, you have finished doing any "fluffing" and are healed. Go back to your surgeon to see if a capsule has formed. Sometimes it can be treated with nonsurgical things like oral Accolate and external ultrasound treatments.

Dear oobnbb,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

It is difficult to diagnose capsular contracture using only photos. If the right side is clearly firmer than the left, the right breast can be said to have capsular contracture. Otherwise, it is not capsular contracture. Capsular contracture usually begins within 3 to 4 months after surgery, and is unlikely to begin after 13 months. In the early days after surgery, the tissue is a bit tight, but it gradually becomes softer over time, but since 13 months have already passed, you cannot expect it to get any softer from now on.