260cc, left breast firmer & scar still sore & tight 1 year later, what can I do? (Photos)

Dear Energetic955942,
I understand your concern. Based on your description, it sounds like you might have capsular contracture. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You probably have a capsule that is thick and tight. I would suggest going back to your surgeon and try oral Accolate and external ultrasound treatments. Surgery can be done if needed.

Dear Energetic,
At one year post augmentation, your breasts have fully settled.
it would be fantastic to see your pre-op photos to compare, but based on what I see now:
The scars are fin. If the one side still bothers you, a small amount of Kenalog 10 (weak steroid injections) may help it.
The one breast is higher but it appears that might be the correct height and the other has descended too low?
If your like the say the lower breast appears, you may be able to have the higher one lowered (it is much easier to lower a breast implant than to raise one).
Best wishes,
Dr. Taranow

It looks like your left implant is bottoming out a bit. Most people have a left breast that sits higher on the chest wall than the right side. That was probably the case with you before the procedure. Your left nipple is still higher than the right which is consistent with what I described.
Your IMF(inframammary fold) is however lower on the left and this is because of where the implant was placed.
The bottoming out process may continue to get worse because of gravity and possibly due to pressure from the pectoral is muscle if your implants are sub-pectoral.
If this bothers you then talk to your surgeon about the outcome or have a few second opinion consultations. For second opinion consultations bring with you a complete set of before abd after pictures abd a copy of your operative report. You can get these from your current provider by simply asking for them.
Best,
Mats Hagstrom, MD