Will a Capsule Contracture Make my Breast Look Bigger then Other One at Top?

Thank you for your question and for sharing your photos. During the post-operative period the breast are swollen, and the breast implants appear in a much higher position. Over time they descend and fills out the lower half of the breast. In addition, it is not uncommon for one breast to be more swollen than the other and may even out with time (unless they were asymmetric in size to begin with). It may take several months for this to happen and can be encouraged with breast massage and compression. It may appear that the breast enlarges as the lower aspect of the breast fills out (at the expense of the upper portion of the breast).  At four weeks, it may be difficult to assess for a contracture as you are still healing.  I would visit with your plastic surgeon to be assessed.

Your description does not fit a capsular contracture. That rock hard lump is probably scar tissue (obviously photos would help).  You will know if you develop a contracture because the breast gets firm and tend to get displaced upward, not downward as the capsule squeezes it into a spherical shape.  Talk to your surgeon.  Probably just need to give it some time.

Capsular contracture does not clear that early after surgery. Something else is going on that should be checked upon by your surgeon.