Are my implants sitting too low? Would I benefit from a higher profile? 5 months post op (photos)

Thank you for your question and photos! You could change the profile and size of the implant to have breasts that sit higher up on your chest wall. It is always best to see a board certified plastic surgeon and discuss your concerns. Best of luck!

Yes, your implants are a little bottomed out and could use repositioning, and you likely need more skin removed from the lower part of your breast (if you had just a vertical lift, turning that into a full anchor pattern lift). Implants being too big for your frame or changing profile would depend on your measurements relative to your size goals and the measurements of your current implants, and would best be decided in a consultation. Likely you don't need to increase profile unless you'd like to be larger.

I would recommend an inferior mastopexy to shorten the nipple to fold distance. It is quite common for the mastopexy to be "stretched out" creating the look that the implants have bottomed out (because they have). The distance from the nipple to the breast fold is too long, creating the appearance that the bottom of the breast is way too large compared to the upper pole. I would highly recommend finding a highly trained aesthetic plastic surgeon (preferably 6 years of dedicated plastic surgery residency and 1 year of aesthetic fellowship). Best of luck!

Hello, thank you for your question. High profile will give a bit more fullness on top however seems like you have a lot of your own natural breast tissue and that is what is sitting on the bottom there. You are still early in your recovery, I suggest you wear a supportive bra and in another 5 months if you are unhappy with the results go and speak to your plastic surgeon to see what options you have. The issue with the natural breast tissue is that even when lifted over time and with the pull downwards of gravity your breast tissue will fill out the bottom of your breasts.

Your implants are positioned a bit low for your body. You can do a simple revision by removing some lower pole skin along the inframammary fold to push the implants up and center them around your areola/nipples.

Dear andi514,
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

From the submitted photos it appears you would benefit from further tightening of the bottom pole of the breast. This should improve the shape and give you more upper pole fullness. Sometimes mesh is encouraged to give support to the tissues. I've included a video on bioabsorbable mesh that I hope you find helpful.

Your implants are too large and heavy for your tissue and have sagged down. The inferior fold can be tightened and excess skin can be removed. You may also need an internal bra with mesh to support the weight.

I'll take a different approach then my peers. First, your breasts look very nice now. You are correct, your breasts are bottom heavy. 295cc implants are not large implants. Changing the profile will not greatly change your breasts shape (just the volume, not shape). Although the weight of both saline and silicone implants are similar. Saline implants tend to bounce more and can cause issues with the lower pole of the breast pockets (I do not think this is the issue with your breasts however). I feel that you may require a revision or the breast pocket to raise the breasts up and possibly an adjustment to the mastopexy (breast lift) to tighten the lower pole of the breasts.
Best wishes.
Dr. Taranow

Your result from full lift w implants is excellent as compared to your before photos in your March question. I would try fat grafting to upper poles only! Fee from $6,000. Best to virtual consult with...