Misshapen implant - Is it capsular contracture? (photo)

An examination or different photos are needed to give more information on what is occurring with your breast. Various reasons for shape concerns can include capsular contracture, skin laxity, implant displacement, bottoming out, and others. If you are not sure about your surgeon's recommendations you can seek a second opinion from a board certified plastic surgeon near you.

This question cannot be definitively answered without a physical examination. There are times when implants can appear misshapen if the pocket has irregularities even in the absence of capsular contracture. The implant can take on the shape of the pocket and not have the ideal smooth contours. Discuss your concerns further with you surgeon. He or she would have the benefit of an examination and provide the most accurate diagnosis and any treatment options.

I cannot tell by this photo if you have a capsule, but your pocket is not round and shows that flatness. I would suggest placing the implant behind the muscle.