9 months post breast augmentation, concerned about nipple asymmetry - Can drop / fluff happen this late into recovery? (photos)

At nine months post op you are basically looking at final results with no major changes expected from this point. If you have concerns about nipple asymmetry and implant position I encourage you to discuss it with your surgeon as well as options to correct it.

I would review your preoperative pictures and your situation with your plastic surgeon. Asymmetry is common prior to surgery however you may have some "failure to drop" or capsular contracture. I like when implants center on the nipple, however that's not always possible. Best Wishes!!

The breast implant position will not change appreciably after 9 months postoperatively. It is difficult to assess your implant position because of the differences in arm positions. The considerations for implant malposition include: 1) pre-existing asymmetry, 2) implant did not drop, 3) the other side dropped too much, and/or 4) capsular contracture. I would recommend visiting your plastic surgeon with your concerns.