Why Do Some Breast Augmentation Results Appear Saggy?

The implants augment the breast shape.  If there is aging before surgery, there will be sagging after surgery.

If you see photos of women with saggy breasts after breast augmentation, then chances are a breast lift may have been needed prior to surgery. While some implants can help lift the breasts to a certain extent, if there is a lot of sagging then a breast lift is necessary. Also, changes can occur after surgery that contribute to sagging, such as weight gain, pregnancy and aging.

The appearance of the breast after augmentation is related to the preoperative look. Therefore, augmentation of a sagging breast leads to a fuller, but still sagging breast.

Some patients are fine with this. They can do their own lift with a great bra, and avoid the scars and expense of a surgical breast lift.

Secondly, placing implants that are too large will create sagging over time. This is especially true of saline implants, which are about 20% heavier than silicone gel devices.