Is my implant right for my body? (Photos)

This is an excellent question. If you have not checked to see if your implants are ruptured or not, I would start by checking with a high resolution ultrasound to see if your implants are intact. This can be done in the office, and some plastic surgeons have hand held ultrasound devices in their clinic.

The extra fullness on the sides could be because you have large implants that may have migrated a little, or because you have gained weight, or a combination of both. Regardless, you can undergo an implant exchange procedure where your implants are removed and replaced with smaller implants. Depending on on how much smaller you go, you may need a breast lift at the same time. Hope this helps!

Your implants are large and will continue to descend inferiorly and laterally. You would benefit from explantation and lift using The Bellesoma Method. The implants are removed, the breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Thank you for sharing your photos and detailed background — your concerns are completely valid and quite common in patients with long-standing implants.
After 9 years with 650cc implants, several factors can contribute to the appearance you’re describing:

Based on only two post photos, which would recommend in person or virtual consultation, would recommend changing from low profile to moderate plus or high profile implants with lateral capsule repair and possible liposuction of lateral auxiliary areas. Fee could range from $10,000-$20,000. Best of virtual consult.

To make an assessment, we always need to see quality before and after pictures.
If you don’t have before, and after pictures, then try tracking down to surgeon who did your procedure and ask them to forward the pictures they took.
My best guess is that your breast always sat wide on your chest wall and adding implants only amplifiers this look.
When breast said wide on the chest wall, the surgeon can either put the implant under the breast so the nipple is centered or putting the implants closer to the midline, in which case the nipple would not be centered on the implant.
Either follow up with your provider or have a few in person consultations with other plastic surgeons in your community.
Best,
Mats Hagstrom MD