Thank you for your question If you are experiencing new or concerning symptoms nearly 12 months after your breast augmentation surgery, it's essential to reach out to your plastic surgeon for a thorough evaluation. Your surgeon will be best equipped to assess your specific situation and determine if any further examination or intervention is necessary. Swelling, especially in the evening or after extended periods of lying down, can be normal to some extent during the early post-operative period. However, it is less common for significant swelling to persist nearly a year after surgery. Swelling that occurs later in the recovery process or is accompanied by other symptoms like pain should be evaluated by a medical professional. The pain behind your right nipple, described as a bruised feeling, may also warrant further investigation. While some degree of discomfort can be normal during the healing process, persistent or new pain should be brought to the attention of your surgeon. It's always better to err on the side of caution and have your concerns addressed promptly by a qualified healthcare professional. They can examine your breasts, review your medical history, and perform any necessary tests to identify the cause of your symptoms. Seeking prompt medical attention can help ensure any potential issues are addressed early, leading to better outcomes and peace of mind. Remember, I can't provide personalized medical advice, so it's crucial to consult with your plastic surgeon or another qualified healthcare provider for proper evaluation and guidance based on your unique circumstances.