Breast augmentation, 4 years post op and breast tissue has started to sag. What are my options? (photos)

Thank you for your question.
While you could get a breast lift to improve the aesthetic, gravity will eventually bring the implants back down to this position due to their large volume. I recommend speaking with your plastic surgeon to discuss your options and concerns.

Your implants are high and the tissue has fallen off of it. This is called a waterfall deformity. The implants need to re-aligned. You will need smaller implants placed lower and at the same time the nipple-areola complex moved upward. Another alternative is explantation with lift. After 6 months, you can consider smaller implants.

Best Wishes,

Gary Horndeski, M.D.

Gravity, weight of breast tissue and breast implants may causes breast to sag with time lowering the nipple position. Breast lifts often can be performed vertically or at times anchor incision to help reposition the breast tissue and elevate the nipple.