Breast implant shape is not perfectly round. Will this need to be fixed? (Photos)

Dear me127,

I understand your concern. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello, and thank you for sharing your photos and detailed history.
What you are describing—where one implant does not appear perfectly round unless the skin is adjusted—is fairly common after revision breast augmentation with lift, capsule repair, and internal mesh support. A few key points:
Skin and soft tissue coverage: The way your breast skin drapes over the implant can create temporary asymmetry or minor shape irregularities. Pulling the skin back, as you mentioned, can make the implant appear more round.
Healing and settling: At 6 months post-op, tissues are still remodeling. Full soft tissue relaxation and implant settling often take 9–12 months.
Implant position and pocket: Minor differences in the pocket or tissue support on each side can make one implant appear slightly different in shape.
No pain or hardness: The absence of discomfort or capsular contracture signs is reassuring.
In most cases, this is not a cause for concern and does not require revision surgery at this stage. Monitoring over the next few months is appropriate, and the shape may continue to improve naturally as the tissues settle.
Of course, any sudden changes, pain, or hardening should prompt an in-person evaluation.
Warm regards,Op. Dr. Yücel Sarıaltın, MDPlastic, Reconstructive & Aesthetic SurgeonIstanbul, Turkey