I hate the look of my 800cc implants. What should I do? (photo)

Your
800 cc implants are too great of a mechanical load for your body to maintain. You have already had previous attempt at
lifting using a vertical scar technique.
At this point, you need your implants removed and a simultaneous
lift. I recommend a new technique called
The Ultimate Breast LiftTM.
This technique will reshape your breast tissue creating upper pole
fullness, elevate them higher on the chest wall and more medial to increase
your cleavage. At the same time,
implants can be re-placed and your areola size adjusted. This technique will eliminate your ugly
vertical scar and maintain your nipple sensation. I always recommend small round textured
silicone gel implants placed retro-pectoral since they look and feel more
natural, are more stable, less likely to ripple or have complications needing
revision. Implant profile is irrelevant
in the retro-pectoral position since the muscle compresses it. Best Wishes,Gary Horndeski, M.D.

  Downsizing the implants coupled with a breast lift would help you address your concerns.Find a
board certified plastic surgeon who performs hundreds of breast augmentations and breast
lifts each year. Then look at the plastic surgeon's website before and
after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD Los Angeles, CA

Large implants such as yours often cause bottoming out because they are too heavy for your own tissue to support. Going smaller makes sense and because the skin has been stretched a lift will likely be needed too. Even with this however the use of an internal bra with a material such as Seriscaffold can be very helpful for adding support and coverage. Strattice is another option.

Thanks for your question and pics. I would guess that the picture you posted as your goal is someone who is young with good elasticity. They appear to have high profile saline implants that are likely encapsulated and hard. Looking at your picture, the large size has so much weight that it has exacerbated the asymmetry of your nipple position. My suggestion would be to significantly reduce the volume of the implants and then go back later and revise the mastopexy. I think your long term and short term results will be much better. Best of Luck!

Thank you for your pictures. Your implants are too large and have significantly stretched out your skin.  You need to downsize your implant and your will need a lift.  Whether those two operations are done at the same time will up to your surgeon.Dr. ES

Anytime you need a breast lift you can assume the skin elasticity is poor. Add huge implants and you are living the kind of result you can expect. I would consider revision of the mastopexy (lift) and smaller implants. Best of luck to you. 

Large implants over time often will stretch the skin and implant pocket. It appears you had a perioareolar lift at some point in time. The look you like appears to me to be a subglandular implant with significant capsule formation, whilwe you may like the look it may feel like a rock! The picture you like is no bigger then 500cc I would guess. You need to think about what you want as in your case bigger was not better. If I were treating you one of the options I would discuss is to take everything out and let it heal and shrink. The next procedure would likely be a full lift with implants in a neo sub pectoral pocket. Of course this is expensive and takes time to see a final result. Good Luck!

Dear Renee,
It appears from the photos that you have already had a lollipop breast lift. Regardless, your implants are too heavy for your tissues to support. I would recommend downsizing the implants and redoing the lift. Good luck!

You've presented what unfortunately is a very common problem and really should be an unavoidable one. You're implants are too large for your frame and they have no inherent support. They are low (referred to as "bottomed out") because the skin that's supporting them cannot do this for any long period of time. Skin stretches and implants fall. Your best option is the following: Implant removal and replacement with smaller implants, more proportional to your body. You'll likely need placement of an "acellular dermal matrix" (I refer to this as the "internal demi-bra") in each breast to support your smaller implants and prevent the same "bottoming out" from recurring in the near future. If this procedure is done correctly and while you're young, your skin will contract and accomodate the new impant size without excess skin sag. Find a Plastic Surgeon Board Certified by the Amercian Board of Plastic Surgery and schedule a consultation. This is the first step to getting you to the body image you're looking for. Good luck!

Thank you for the pictures.In my opinion I believe that you need an anchor incision breast lift with areola repositioning in order to make your breast higher. How ever, you seem to have skin laxity that would be present in the future regardless of a breast lift.Dr. Campos