Can asymmetry be caused by capsular contracture or a shallow pocket? What are my options for revision? 9 months post op (photos)

Capsular contracture is a common cause of asymmetry after breast augmentation. It can cause asymmetry alone or asymmetry with discomfort. The treatment for capsular contracture usually varies depending on severity and if it's recurrent or the first time it's happened.

I would wait a full year before considering any revisionary procedure. if you had a short inferior pole or smaller lower pole, a transaxillary approach makes setting the nipple to breast fold distance quite challenging.

Dear Pioneering542462,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Your right side is sitting higher, so it could be lowered to match the left. You may need a different incision for this procedure.

Based on the nicely series of posted photos I might try right breast capsulotomy inferiorly with exchange to 50-75cc larger implant to correct asymmetry in volume and shape. Fee $5,000+ Best to virtual consult with...

First your breasts are very nice right now. That being said, I feel they are both a bit too high with the nipple lower on the breast with a bit too high upper pole. The right lower breast lacks a curve which throws off the symmetry. A periareolar or inframammary incision revision (this cannot be done through the transaxillary incisions (I know because I’m an expert at transaxillary approach) would certainly make them more symmetrical.
Best wishes
Dr Taranow

Dear Pioneering,
It appears that your right breast implant may not have yet found its' final resting place. For some patients, the implant settling process takes longer than the usual quoted 6 months. That time period is not a hard and fast number. Speak with your plastic surgeon about his/her further expectations for your healing process. Good luck!