Sagging breast after implants (Photo)

I am sorry to hear you are unhappy. I agree with the other doctor that a full vertical breast lift with possibly smaller implants may be necessary-wait 6 months-at that time areola rediction may be adequate. Read below:

 From your photographs, it seems you had a circumareolar lift.this is not a particularly strong lift as far as being able to move the nipple and getting a long term result. At this point, I think it would be safe to proceed with a lollipop or an anchor pattern mastopexy. Choosing to downsize the implants would probably give you a significantly longer lasting result. You should talk to your original plastic surgeon to get their input on the different possibilities of how to change the aesthetics of your breasts.

In patient, who have undergone augmentation/mastopexy with recurrent drooping all hope is not lost. These patients have the option of undergoing repeat mastopexy to further lift and tighten the breast envelope.You might consider downsizing, as mastopexy and augmentation are competing procedures which are often performed in concert. The mastopexy lifts and tightens/constricts the breast while an augmentation expands the breast. The augmentation has the added feature of adding weight to the breast which will be at the mercy of gravity and further stretch the tissue. A smaller implant can be helpful in avoiding further recurrence.As always, discuss your concerns with a board certified plastic surgeon (ABPS).