Visible implant creating shelf on only one breast. Is this something you've seen correct itself over time? (Photo)

It is best to schedule a follow up with your surgeon to discuss your concerns and be examined. From the photo it does not appear to be swelling. Unfortunately you need to give your body time to heal and re assess in a few weeks. Best, 

Assuming your breasts were symmetric
prior to the procedure, they should appear similar after the augmentation in my
opinion. My best guess is the pocket is under-dissected and the implant is
"tenting" the skin, which will require revision at some point. Ultimately,
your plastic surgeon assessment will determine what is going on . . . Thanks
for sharing.

Thank you for your
question.Since your right breast was smaller, you may not have enough breast tissue on that side to adequately cover the implant.  It is too soon to tell and would give it about three months to either get better or not.If it doesn't get better, solutions include converting your implants to the sub-muscular position. Gaining weight will also help - not recommending that as the best solution

To be sure, return to see your surgeon or see two
or more board-certified plastic surgeons in your area for a full and complete
evaluation to make sure you are a good candidate and that it is safe for you to
have surgery.

I hope this helps.

Unfortunately, the shelf you see is the edge of the implant with too little tissue overlying it, so that it is highly visible.  Although at this point, the only thing to do is wait: early revision not a good idea.  It is unlikely this will get better.  It is not simply swelling.

OK, I won't tell you that your visible breast asymmetry will be fine. In fact, I will be so bold as to predict that you will need re-operation. However, I would NEVER re-operate at 2 weeks post-op for this kind of asymmetry, only for acute bleeding, which this is clearly NOT. I would tell you that you need to wait for at least 3 months (6 would be better).See, you get to wait anyway to see if things will improve or not.But honestly, although it IS too early to tell, textured shaped implants should look more symmetrical than this, and telling you this now doesn't make it any more urgent to re-operate, only that much longer your surgeon and you have to be miserable about it. So be patient and see what happens. Keep in close communication with your surgeon, and don't be angry or blaming--being understanding that your surgeon didn't want this look any more than you did will help preserve a good working relationship if repeat surgery is necessary.And, you should have already known your surgeon's policy for revisionary or touch-up surgery as far as costs go. If not, shame on both of you, because you'd better have that discussion now. I tell all of my patients BEFORE surgery that if they promise to do their best to be compliant with my recommendations, then I will do my best to give them the best operation I am capable of. If they need or request revisionary surgery, I do not charge a surgeon's fee, but they will be responsible for operating room costs, anesthesia costs, and any new implants (if requested). Thus, repeat surgery costs my patients more money--their incentive to follow directions to get their best possible outcome. It costs me time I could have used for a "paying" patient, so repeat or touch-up surgery "costs" me too--I would go broke if all I did was revisionary surgery.But no surgeon is prefect (unless you ask our mothers), and sometimes "stuff" happens that is not a usual part of the healing process, despite everybody's best efforts.I would have used smooth round implants below the muscle in someone as thin as you. And since your right breast was "slightly smaller pre-op" I would have used a slightly bigger implant on that side to compensate. But perhaps you needed a lift and were unwilling to undergo the scars and cost of that procedure. The operation performed is one way to accommodate this issue, but may have not been the best choice. Easy to say now, but either way, you made your choice, and really need to be a patient patient as this declares itself. Hang in there; we're all hoping time will make this better, but no one can or should give you false hope. Best wishes! Dr. Tholen

To reiterate, yes it is very early in the healing process to make a final determination about how your breasts will look.  Because your implants are above your muscle, there is no muscle coverage over the top part of the implants. This will definitely make the implant more visible in some cases. You also mentioned that the right breast was smaller preoperatively. I don't want to speculate, but it is possible that you simply have less native breast tissue on the right side to provide coverage over the top of the implant.The bottom line is that there is nothing to do at this point other than follow your surgeon's recommendations and allow yourself to heal. Further management decisions can be made once your final surgical results are determined. 

The truth is--it is too early to tell.. It is best to always follow up with you operating Board Certified PS regarding any post-operative concerns. Without good set of before and after photos- via online- it is difficult to comment accurately.

Thank
you for message and your photograph.It does look as if you have some asymmetry
with the right side being slightly more ridged in the upper portion.This can occur if the implant rotates
slightly forward on the right side.Normally I would agree with your plastic
surgeon that you should allow the area to settle as there would be some
swelling in the region.In similar cases that I have seen the
asymmetry and ridging has settled in time and is not a concern in the longer
term. AR

Sorry to hear about your asymmetry.  With such limited info and only 1 pic, it's hard to say exactly what's going on.  My best guess is that the upper rim of the visible implant has lifted off and is protruding outward.  Somehow, either the pocket was too small or the implant wasn't properly seated in the pocket.  As this settles, it may lay flat against the pec muscle so it's too early to tell.  If you were my patient, if it hadn't changed by 6 weeks, I would re-operate.  I hope it goes well for you.

First step is to allow healing of 3 months. If after that time frame still with this issue consider fat grafts to even out the appearance...