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Thanks for your question. It's hard to see what you see from this photo. The dominant side usually stays a bit fuller/higher because the muscle is thicker on that side. If it is minimal it is not worth addressing. Massage may help. If it is truly high your PS will want to consider release and rule out a contracture. Check in with your ps to be sure.
Hello, if your implant remains high and conservative treatments (massage, upper chest band etc) are not helping, there are surgical options that your PS can explain in more detail.
The photo is a bit blurry. It would be nice to see preop photos. You are best to be seen in person to see if this is normal asymmetry or not. Good luck.
It does appear from your photos that you may have some asymmetry. If your implant is still high and hasn't dropped into place, then you may have capsular contracture or the implant pockets were dissected differently. But this is best determined in person with an examination by a board certified plastic surgeon. Regardless, after five months, I don't think that your results will change without an additional surgical procedure. Please see your plastic surgeon in person for his/her opinion.
When an implant is placed under the chest wall muscle, the muscle needs to stretch out to accommodate the implant. The pocket is created during surgery, when the muscle is relaxed. After surgery the muscle will tighten due to pain and massage, high breast straps and muscle relaxants are given to "coax" the implant into the proper position. This usually takes 3 weeks to 3 months. Occasionally, when patients have a tight, well-developed muscle, this process takes longer. I would continue to massage the implant and avoid wearing bras that will give the implant too much support. If, at 9-12 months, the implant is still too high, you may need to have the capsule (scar tissue around the implant) released on the bottom to help the implant settle.