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Hi there! Thank you so much for your question and for sharing this here.From your side-view photo, I do not see evidence of a Snoopy or “waterfall” deformity. This condition occurs when the natural breast tissue descends (or sags slightly) while the implant remains higher in its original position, creating a step-off between the breast and implant.In your case, the implant and breast tissue appear well-aligned and harmonious, with a smooth transition from the upper to lower pole. You look beautiful, and there’s nothing that needs to be corrected at this time.Every patient is unique — anatomy, history, physical exam, tissue quality, goals, skin elasticity, and surgical risk profile all change what is indicated/recommended. Because of this, this should not be taken as personal medical advice. The next step is always an in-person evaluation with a board-certified plastic surgeon that can examine you and discuss individualized plan options.Hope this helps!— Georgina Nichols, MD, FACS
Replacing the existing breast implant with a low-profile implant with a similar or 1 cm smaller base diameter, as well as tightening both the breast pouch and the skin using plasma can provide a near-optimal result without lifting in such cases.
There is a volume asymmetry and bottoming out deformity in the right breast. In the treatment, narrowing of the implant capsule with popcorn technique and fold equalization by elevating the inframammary fold will be appropriate. Implant exchange is also recommended for volume equalization.
Your photos suggest a good aesthetic outcome. It is not always possible to achieve one's ideal, as there are limitations to the improvement that can be surgically attained. It is also not possible to give an accurate ideal of possible improvement with only the benefits of photos. To truly answer...
