Breast implants have drooped significantly, possible rupture? (Photo)

You will need a breast lift. Depending on how the implants were placed, you may benefit from 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.

Best Wishes,

Gary Horndeski, M.D.

Dear Juliet19866,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

First question: Do you have saline or silicone implants. If silicone, they do not change in size after a
rupture
Second: It appears that your breasts have become ptotic (droopy) which is the normal progression
with age.
It is difficult to assess your breasts from the single photograph and description. It seems that your right breast may have a bit more upper pole fullness and hanging a bit more laterally (which may be due to your rib anatomy).

You require a physical exam (go to a local board certified plastic surgeon locally for their opinion).
Dr. Taranow