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

Dear Eclectic734297,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello and thank you for your question
Based on your photographs, I agree that you do have bilateral waterfall deformities. In addition you have have some degree of symmastia (loss of the space between the breasts). The waterfall deformities can be secondary to failure of descent of the implants or upward migration of the implants because of capsular contracture. If your implants remain soft then it is likely secondary to the former. I would recommend removing your current implants and changing to a subfascial plane. This would address the waterfall deformities and help to correct your symmastia. As always, you should consult with a plastic surgeon certified by the American Board of Plastic Surgery who has extensive experience in revision cosmetic breast surgery. I hope this helps. Good luck.