Without seeing the pre op photos one cannot truly say what the problem is. Not only is it possible that the implants are too high (and large), but it is possible that the breast are too low. As I see from the frontal view that the areolas extend to the bottom of the breast mound with no visible skin showing between the areolas and the bottom of the breasts. This indicates that the most effective operation might truly be a breast lift. It seems unlikely that the breast tissue is going to fill out with the implant. In other words (And without seeing the pre op photos and measurements), the breast were not just deflated (which is addressed w an implant ), but it was likely ptotic (or droopy) which ultimate requires a lift.