Thank you for your question and concern. It is very possible that your implant has shifted. You will get the best answer to your question by scheduling an in person consultation with a plastic surgeon certified by the American Board of Plastic Surgery and discuss your unique situation and concerns. The surgeon would meet with you, examine you, physically feeling the tissue and implant, assessing your desired outcome, taking a full medical history, and discussing the pros and cons in person and what to realistically expect. Then you can make an informed decision on how to proceed to start with according to your desires, recovery time necessary, your history and current health.The cost of Breast Augmentation in the United States varies from practice but the cost of the implants should not go up or down depending on the size or shape of the implant alone. A 350cc gel implant costs the same as a 650cc gel implant. The cost of the implants vary depending on the type of implant- saline vs silicone but not volume. Most important is to pick a Board Certified Plastic Surgeon - Certified by the American Board of Plastic Surgery. It can be hard and confusing for consumers when a physician may tell you they are Board Certified. Make sure it is Board Certified in Plastic Surgery as many Physicians are certified but it is in another area such as Dermatology, Gynecology, ENT, or some other specialty that does not have the years of training and Certification in Plastic Surgery required to be a Board Certified Plastic Surgeon. Rather than finding a non-certified surgeon that may give you better pricing it can be helpful to find a newer Board Certified Plastic Surgeon that has years of experience in training and surgery-required to become Board Certified in Plastic Surgery but is newer in practice. They have the latest up to date training and highest standards as currently set by the newest technology and are able to pass on to the consumer much better pricing for Breast Augmentation. The manufacturers of the breast implants encourage and assist the newer Certified Plastic Surgeons by giving them special pricing on implants which most will pass on to you, the consumer. Check for special pricing here on RealSelf and make sure the surgeon is a Board Certified Plastic Surgeon and you may find the perfect Plastic Surgeon for you who is able to work with your budget without cutting corners!#BreastImplantsshifting, #Teardropshapedimplants, #BreastAugmentation