Do you think I need a lift to correct this double bubble/asymmetry? (Photos)

You need to internally repair and lift your inferior fold to correct this area. A breast lift will not fix this issue. Your implants may be a little heavy for your tissue. Please discuss this with your surgeon.

Good morning,
You have bottoming out, and the correct procedure is the Original Internal Bra, my strong permanent internal suturing technique. I first developed this over 20 years ago, and today it remains the most common revision procedure I perform, at least 5-6 times a week- it works and it lasts! Now if you are asking this question because you have been told a breast lift will fix it, then you have been told wrong- 100% absolutely wrong. A breast lift lifts the skin and the nipple position, not the implant position and certainly won't correct bottoming out. I can't tell you how many patients I have seen in the office with full anchor scars and still have bottoming out after they were promised a lift would fix it. Now I will add that your left nipple (my right in the photo) is already borderline low, so I would consider repositioning your nipples to the same level at the same time we do the Internal Bra, but that's merely to improve your nipple symmetry, not as a means of repairing your bottoming out.

At this time, I recommend a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, the implants can be exchanged for smaller ones and you will need plication of the inframammary fold.

Best Wishes,

Gary Horndeski, M.D.