I Have 1000cc`s Saline over Filled with 850 Implant Bag, How Can I Proceed To Meet My Expectations? (photo)

I have lots of experience with large implants, and going up is easy and going down is difficult. You have stretched the skin out considerably. For the best result I would recommend a staged procedure. First we remove your implants and get you to wear a tight compression bra for three months to shrink your skin envelope back down as far as it will go. Then we take your measurements again, and perform a so muscular augmentation in the size that you want with a lift. Two surgeries but a more controlled, longer lasting result.

I would say that the best approach would be to go through the nipple to get the best view of the space.  The TUBA is so limited, that the space probably needs to be revised completely.  This is a very difficult technical problem with going smaller, the sagging, and the implant malposition.

The ideal solution to your problem would be to perform a lift and reduce the size of the implants. This may need to be done in stages. You would be a good case to deflate the implants with a needle and allow the skin to retract. Then you can start from square one and get the proper operation done.

Not sure I have much to offer that hasn't already been said. Your implants are too big for your frame. You can probably achieve the upper pole volume that you want with a much smaller implant placed in the right position, but you most likely will need a mastopexy now. I also would suggest removal of the implants for about a month or more to see how much your skin retracts and then consider replacement of smaller implants in a controlled dual plane pocket and likely a vertical mastopexy. 

Thank you for posting your photos along with your question. The simple answer is you need a revision. As you already noticed, your implants are too big. Placing large implants to compensate for sagging breasts is not always a great idea. These implants are stretching your skin, weighing down on your breasts and causing them to sag. I believe placement is not under the muscle and this also need to be addressed. Plus seeing where your nipple position is now, makes me think you probably needed a lift to begin with. 
I believe you need a Breast Lift with Implant Exchange(reduction) with sub-muscular placement.
Some patients get in similar situations because the surgeon tries to please the patient by tries to avoid breast lift scars. This may limits the surgeons abilities to produce an aesthetic and long lasting result. Please understand that these extra scars are the only way to achieve your expectations. And remember, in plastic surgery scars are usually not the problem, but rather the solution to the problem. 
Best of luck,
Dr. Miguel Mota

I think you will need a lift. Regardless of what size implant you have, or get, you need a lift to give you the look you describe.Good luck,Greg Sexton, M.D.Columbia, S.C.