Breast Lift/Aug - Considering Revision - will just a lift be enough improvement or will I need a high profile implant? (Photos)

Your implants have bottomed out, that is why you lack upper pole fullness. If you magically replaced your current implants with the same size but high profile, you'd have LESS upper pole fullness because the base diameter of the high profile device is narrower than your current mod plus implant. Your scars are pink and will turn white; your lift is good. You'll need a more thorough discussion about implant selection and pocket revision. Before moving forward.

If you desire more fullness up top, which will give you a more rounded and possible more "done" look, then a higher profile implant may be a good option with some work on the pocket to be sure the implant stays up.

Your skin fold is short, so lifting up the bottom fullness might not be too easy. Nipple position is good. I recommend getting in front of a mirror with a surgeon and really defining exactly what you like/don't like and want to see if another procedure is worth it to you.

Hi, thank you for sharing your question. You have a really good result. While there are some improvements that can be made to address your valid concerns, you have to consider the trade-offs (more scars, downtime, inability to actually achieve perfect goals).

Hello,
Thank you for the question. Judging from the photos, your surgeon is correct, you do have a very good result. Do not compare your breasts to women who had augmentation without a lift, or who show their results early after surgery. To achieve more fullness, you could exchange your implants to larger ones, possibly add fat transfer to the cleavage area, and tighten the skin from the inferior pole of each breasts.
I wish you the best.
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision.
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
With regards to your specific question, if you are seeking greater upper pole fullness an implant is needed. You have a very nice result but your disappointment is not a unction of what was done but rather what was not done. It is important to remember that a lift will reshape the breast and reposition the NAC. It will not create fullness in the upper pole. The common misconception is that the fullness of the upper pole descends over time and needs to be lifted. It actually atrophies and is no longer there. It needs to be replaced (via an implant), not repositioned. If you are seeking greater upper pole fullness a lower profile/wider device will help.
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

Based on your nicely posted photos and preoperative photo of the result is very acceptable, but you are lacking up or pole fullness without doing a virtual consultation, which I recommend I would either do a combination of implant exchange with liposuction and fact grafting to the upper pole or either one separately I do not think I would recommend a re-lifting, but a virtual consultation is needed to make that final decision expect fees to range from $8000-$15,000. Again, best of virtual consult with.