5 weeks post op with 530cc high profile round silicone implants. 11 years after reduction & lift. Why do they sit low? (Photo)

Hello,There are many reasons you got this result: 1. The implants are ball shaped and non-form stable, so the don't have a lot of upper pole reach. 2. The implants are likely smooth, and certainly large. Combining this with someone who has skin laxity, makes for an implant that will drop out into the bottom of the pocket quickly. 3. There is the possibility that the surgeon made a larger pocket than necessary. Unfortunately, you are early in  your healing, and  you are likely going to drop out lower. Go visit a few ABPS certified/ASAPS member surgeons who specialize in revision surgery. You'd be a great candidate for form stable, highly cohesive and shaped implants. Best of luck!

Thank you for your pictures and questions. I think that overall, you have a relatively nice result. The position of the implant is likely the position of your breast before surgery. If you were looking for upper pole fullness then you might have been better served with a wider, less projected implant but this is hard to suppose without knowing your measurements and details. You do have some degree of pseudoptosis where the distance from the nipple to the fold is elongated and stretched and this can be common with previously lift patients. This will likely not improve, but will worsen with time, and may eventually need a revision to correct. Make sure you discuss your concerns with your plastic surgeon. Hope this helps!

This could be a result of the implants being too large to be supported by the tissues of the lower pole of the breast. These tissues (lower pole of the breasts below the nipple/areola) were divided with your reduction and again disrupted with the placement of large breast implants.
You might consider smaller textured implants placed beneath the muscle should you decide on a revision.

It looks like there is an excess of lower pole breast skin that may be treated by excising a wedge of skin from beneath the breast.  I would definitley wait at least 6 months before any intervention.  

Based on your photos, you have excessive breast skin and soft tissue in the lower pole of your breast. Your implant is stretching out this tissue. I would guess that the distance from your infra-mammary fold to your nipple is longer than 10 cm - which indicates to me that you need a revision of your breast lift.

My thought on your situation is that you had a lot of surgery before the implants so it will take time for your final breast shape; 3-6 months is an reasonable time period.  You may need to redo your breast lift to get the shape you are looking for.  Best Wishes!!

Thank you for your question and photo's.  It looks like you need another mastopexy , and possibly a form stable implant to give you upper pole fullness. 

often leads to this problem where your lower pole elongates with healing.  It sounds like you wanted your mounds higher on your chest and was this conveyed to your surgeon?   That would have required a re-do mastopexy along with your augmentation.  If you were fine with your nipple position, you can still salvage this with an office revision by simply using your old transverse scars and plicating it to shorten the vertical length from your nipple to your fold.  That would produce a perkier look with a fuller upper pole but the skin will eventually stretch out and will require re-dos so anticipate that.

You are absolutely correct that you need a lift along with your breast augmentation revision so that your breasts sit higher on your chest rather on your stomach.

The first issue is tissue elasticity. When a person needs a reduction/lift it indicates the fact that they have poor tissue strength or elasticity. These folks can never have a high full look with large implants because the tissues just aren't strong or tight enough to hold this look up. It always falls over time. Best to know this up front so the expectations are set appropriately.The second issue is that in your reduction surgery, the inframammary crease or fold was apparently removed - and this was the best barrier against implant descent. Now that barrier is gone so there is very little to hold the implants up.To try to revise this is complex surgery and requires crease reconstruction, perhaps removal of excess skin in the lower pole and probably a more conservative implant style. Additional supportive materials may be needed to re-establish the fold of the breast and get the crease scar tacked back down into the crease. I would also advocate 4 months 24/7 wearing a specific underwire bra and no pec exercises or jarring like running.