Breasts Already Sagging 4 Weeks After Lift with Implants?

Thank you for your question and photo!  At 4 weeks postoperative, it is likely that you still have some swelling as well as it needs additional time for your implant to settle into its pocket - this often takes 8-12 weeks on average, sometimes slightly longer.  The appearance looks reasonable at this time.  i would discuss the postoperative instructions with your surgeon including garments, implant massage/displacement, restrictions, etc.  If after an appropriate period, a revisionary procedure may be considered to either re-lift and/or revise the implant pocket.  Hope that this helps!  Best wishes! 

At your stage in recovery ( four weeks after surgery),  it is much too early to evaluate the end results of surgery. It is  possible you will find that as the breast implants “settle”,  the nipple/areola complexes will shift upwards.  Also as the breast implants settle they will fill in the loose skin of the lower poles of the breasts.  These changes may help change your impression that the breasts “look like they are sagging”.

I would suggest continued follow-up with your plastic surgeon.

Best wishes.

Every surgeon uses different techniques which may effect the long term healing process and the degree of overcorrection/undercorrection and ultimately the amount of time to reach a stable result. Although your nipples look low giving you a sagging appearance, it is more likely that your implants are high and will settle. This will give the illusion that the nipples have raised by riding above the equator of the implant rather than below as it does in the early phases of healing.