You are very early in your post-op course at 7 days. Breast implants start off “high and tight”, and will settle into a more normal shape over several months depending upon the pre-op anatomy and tissue characteristics, and the size of the implant.Implants placed under the muscle will have prominent upper pole fullness. This is related to the tightness of the newly dissected pocket, the contraction of the pectoralis muscle, and post-op swelling. This upper pole fullness will be more exaggerated with larger sized implants, and as implants are over-filled more.As the swelling decreases and the tissues relax (and stretch), the implants will ‘settle’ - the volume will redistribute from the upper part of the implant to the lower part of the implant. The upper pole will be come more sloped and the lower pole will become fuller.Use of implant displacement exercises and/or a strap across the upper pole may help speed the settling. Your surgeon should be able to guide you.Best wishes. Ken Dembny