Breast implants feel tight and bottom heavy. Nipples are uneven? (Photo)

Your breasts look very nice.  All breasts have some asymmetries, some more minor than others. Best to be seen in  person with your surgeon if you have an issue.

Thanks for your questions and photographs.  From your photographs alone, it appears that you have achieved a good aesthetic result.  Asymetry is very normal and if you had assymetery prior to surgery then you can often expect to have it after surgery.  A physical examination would be required to determine whether the tightness and pain is anything significant or simply the implants settling as you become more active.  If you have concerns you should have a review with your surgeon.

Appears as a nice result. Before photo comparison would demonstrate the asymmetry of your N/A complexes... 

From the images you have shown, your results look very good.  Of course, we don't have the opportunity to examine your breasts, and specifically to feel the capsules to be able to tell whether the "tightness" you are feeling is significant or not.  Given that you had asymmetry before surgery, I would expect that you would have it afterward.  In fact, sometimes if there was asymmetry of the nipple position before surgery, it can be amplified after surgery as the nipples are forced further outward from the body and potentially farther away from each other.  The best thing to do is pay a visit to your surgeon and express all of your concerns to him/her openly.  That way he/she can examine you thoroughly and give you a complete assessment of your situation.  However, from where I sit right now, based upon the images I see, your results look great.

Your result look very good, I tell all my patient that, " The breasts are sister not twins", so there is always some expected differences in the breasts after surgery because it existed before surgery.  It appears form the photos ( which are two-dimensional) that your breast may be starting to "Bottom out", therefore the heavy / tight feel.I would discuss this with your Board Certified Plastic Surgeon, nothing beats an in pernson evaluation because you can see in three-dimensions and feel the tissues.Good LuckStephen M. Davis, MD,FACSGreen Hills Plastic Surgery

Based on your photos, and even taking into account the things you've mentioned - that they feel tight and heavy, are asymmetric, etc., - I would say that you have a very nice result from your surgery.  Breasts are never perfectly symmetric, with or without surgery, as is the case for any part of the body of which there are two.  For specific issues of discomfort or whatever cannot be determined from the photos you should, of course, have a discussion with your own plastic surgeon.  But you can hopefully go into with the starting point that it is an excellent result photographically. (And I'm assuming that you don't have any systemic signs, such as fever, chills, sweats, etc)I hope that this helps and good luck,Dr. Alan EnglerMember of RealSelf100

Mom522, I cannot see the differences you are talking about in the photos, but raising your arm, or arms, to take the photos can change both geometric shape and relationship, and cross-lighting can introduce shadows that highlight or hide features.  However, minor asymmetries are common both before and after augmentation.  In this regard, the breasts are sisters and not twins. The difference regarding softness that you can palpate may have to do with the placement under the muscle, particularly if the muscles were cut to create space in the pockets, as there is more soft tissue coverage of the upper pole than the lower pole in that instance.  Minor pains will eventually resolve in most instances.  I hope that this helps.