5'9, 173lbs, still sagging after 650cc Inspira & lift 6 months ago - what is needed? (Photos)

This is a complex problem to address. I would recommend removing both implants and allowing the tissues to rest/recoil. After 3-6 months, I would recommend placing significantly smaller implants, placing soft tissue support/internal bra (Galaflex), and performing a breast lift. The placement of very large implants can create significant problems and change the breast shape. In addition, patients that have lost a lot of weight lack intrinsic soft tissue strength that needs to be improved with some sort of soft tissue support scaffold or dermal matrix. I would recommend seeing a board-certified or board-eligible plastic surgeon with actual training in plastic surgery and an aesthetic fellowship. I find it also very beneficial if the surgeon has 3D imaging that can help simulate your revisionary surgery prior to the actual case. Best of luck!

Dear Affectionate667781,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hi Affectionate,
Do you know if your implant were placed above or below the muscle?When implants (especially as large as a 650) are placed subglandurally, it can result in premature sagging. The skin of a massive weight loss patient has often lost some of its integrity and may need more structure in order to stay in place.
Congratulations on your weight loss and I wish you the best of luck in your search for treatment!
-Dr. Nik