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

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