Have my 415cc & 335cc breast implants bottomed out & do I need revision? (Photos)

Yes, I would highly recommend downsizing and doing another lift. The implants are too large and have over powered the natural tissues that we have that support the breast structures. I would highly recommend seeing an experienced aesthetic plastic surgeon with an established practice and avoid any medical tourism to Miami or other countries to try to remedy this issue. These are my own professional and personal opinions. Best of luck!

Dear fdelarosa14,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The problem with reverse tummy tucks is that the heavier abdominal tissue tends to pull down on the breasts. You are still healing and need to wait. However, mesh may be needed to give your breast implants more support.

Your breasts are a bit lower, but not really bottomed out. After they fully settle (8-12 months), then re-assess and if necessary, they may revise the lower breast skin to elevate the breasts and give more upper pole fullness.
Best wishes.
Dr. Taranow

Based on the photos, the implant on the left side of the photo looks like it is sitting on a steeply outwardly angling chest wall and if that is your right side, this is quite common. That foundation predisposes your implant to side down and out by gravity. There are ways of preventing or minimizing this but in your case a revision will likely be needed to close off the pocket on the side. Your tissues are not very strong and some surgeons would advocate adding additional materials to help this not recur.