Waterfall deformity correction surgery (photos)

Thank you for submitting your questions and photos. Based on the photos submitted, I think you'd be a great candidate for a breast lift with implant exchange. Of course, your implants can be removed, but you'd need to feel okay about having smaller breasts. If you'd like to maintain your current volume but improve your breast shape, then a lift with implant exchange is a great option. I highly recommend you seek out a board certified plastic surgeon to discuss your options in further detail. Good luck and thanks again for reaching out!

Dear RSMember16465,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your 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.

You will benefit from a surgery to remove your implants and surrounding scar capsule and replace with a modern silicone gel implant in the same subpectoral position, and a formal mastopexy to reposition breast tissue and nipple areolar complex over the new breast mound.

Your nipples are too low. You need a lift. This can be done either with or without implants. Or you could just have the implants removed

You would do better with smaller implants and releasing the capsule internally to let the implants settle down, and a lift to raise your own breast tissue up into position. I am in San Antonio.

I suggest you have a few in person consultations with plastic surgeons in your community.
Based on how old your implants are, there is good likelihood that there may be rupture in one of the membranes.
You can either have your implants Removed most likely with capsulectomy and a breast lift or a breast lift with replacement of implants.
Regardless, you most likely need a breast lift if you want better looking breasts.
Rather than going into detail about this, I think it’s better that you schedule a few in person consultations.
I generally do not recommend people travel long distances for elective surgical procedures and usually always recommend having several in person consultations before selecting a surgeon or scheduling surgery.
I generally do not recommend relying on virtual consultations.
Best,
Mats Hagstrom MD