Unhappy with breast augmentation. What can I do? (Photo)

Your pre op photos show some natural asymmetries that are still present post op. This is expected as placing implants typically will not correct these. It appears that you have had a very good aesthetic outcome, but any concerns should be discussed further with your surgeon. There may be subtle changes that could be achieved through a revision, but i suspect that any anticipated benefits would not justify additional surgery at this time.

Your right nipple-areola complex was already lower than the contralateral side. This was exacerbated after placing the implants. A tight pectoralis muscle is not the reason for any of this. It might be due to too large of an implant and stretching of the nerves that are on that side. When placing an oversized implant, you can also sometimes damage the skin causing worsening scarring. Regardless, these are all my own opinions based on the photos provided. I would recommend seeing a plastic surgeon who has great training and experience in aesthetic breast surgery.

You may have a small capsule that could be improved with oral Accolate and external ultrasound treatments, or released with surgery. Please discuss this with your surgeon.