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.

Your implants are too large and your nipples too low. I would recommend a lollipop type lift with smaller implants. You may need additional work if your breasts have capsular contracture

Dear jchitty30,
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

Your own tissue has sagged, but not your implants. A lift would bring your breasts back up to the correct position.

Dear jchitty30,
Without further information it is difficult to determine whether you are developing a waterfall effect from continued aging (sagging) of your breasts off of the implants, or capsular contractures that are pushing your implants up on the chest wall. See a board certified plastic surgeon for an examination and discussion of your options. Good luck!