Help! Only 5 weeks post op and already starting to sag again. Options? (Photo)

This is an excellent outcome from your surgery.  If you are disappointed, the plastic surgeon may have done a better job educating you about the possibilities after surgery.

Prior to answering your question, I have a few questions. 1. Size of implants. 2 position of implant 3 type of lift. Once I know these answers I can answer your questions

Hi, do you know if your implants were placed sub glandular or sub pectoral?   Your implants will likely continue to settle some since you are only 5 weeks out. Sub muscular placement and or textured implants can help minimize this, but there is always some amount of settling post procedure. You appear to have nice early results. I would give yourself 3 months to heal and then re-evaluate. At that point you have the option of fat transfer to the breast to add some upper pole fullness or a possible implant exchange. I wouldn't do anything before 6 months post op given your current results.