Waterfall deformity? Do I need a breast implant reduction? (photo)

Your nipples are a little low on the breast mounds. The most reliable treatment would be to do a breast lift. Sometimes this can be corrected by repositioning of the implants. To provide the proper recommendation would require a physical examination. I would suggest beginning by discussing your concerns and options with your surgeon.

Thank you for your question. You appear to have symmastia (breasts merging in the middle) and a waterfall deformity (the natural breast tissue sags over the implant, making it appear too high while the breast tissue droops below it). You’ll need a revision surgery that includes implant exchange to a subfascial plane with smaller, lower-profile implants, combined with a breast lift to address sagging tissue and improve nipple position. A lift is essential to address the sagging breast tissue and correct the waterfall deformity. The subfascial plane avoids the muscle pushing the implants upward. Downsizing the implant will reduce tension on the breast tissue and minimize the risk of recurrent sagging or symmastia. Your surgeon will need to close the medial pocket to prevent the recurrence of symmastia. Consult a surgeon specialized in breast revisions to develop a personalized plan for your goals.

You made just need a lift to place the nipple-areola complex over the new breast mound. If you upload pictures of the photos prior to implant placement that can potentially help clarify what happened.