Snoopy deformity - is it enough to loose the pocket and do a crescent lift? (Photo)

It appears your implants are riding higher than optimal, and an operation to lower the pockets would definitely improve lower pole fullness and apparent nipple-areolar complex position on the mound. However, what won't be helpful is a crescent lift. In fact, the crescent lift has no good indication. Removing a piece of skin above the nipple-areolar complex will not lengthen the distance from your nipple to inframammary fold. Only a full mastopexy or breast lift can do that, but you are not a good candidate for that because it appears you don't have skin excess, something that is necessary to move the nipple. So, please do not get a crescent lift. You should get a few second opinions from other, reputable surgeons before proceeding with your surgeon.

Dear Exciting748104,
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

You do not want to loosen the pocket. If you loosen the pocket, the breasts will fall down and can create a double bubble and further descent of the breast implants. You can see your breasts are wider than the chest wall as your implants are too large. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, smaller implants can be placed.

Best Wishes,

Gary Horndeski, M.D.

I’m not a fan of crescent lifts. You won’t really get any lift and the surgery could distort your areolae. I would need to take measurements to determine if a lift is indicated at all

From the photos it appears the implants are being held too high. Your outcome can be improved through surgically helping the implant drop into the pocket. A crescent lift may not be needed. Schedule a few consultations with board certified plastic surgeons near you to better evaluate options.

based on the picture that you uploaded, it does appear that the lower pole (below the nipple) of your breast could be stretched to allow the implant to sit lower and improve the snoopy deformity. Regarding the crescent lift, I do think this may help give a subtle lift/repositioning of the nipple and areola as well as improve the symmetry between the breasts.

Usually, just lowering the inferior and sometimes lateral pockets works well. I am not a fan of the crescent lift since it tends to elongate the areola. Rather, the peri-areolar lift is better if needed.

Dear Exciting,
First of all, you do NOT have a Snoopy deformity. You have a very slight waterfall deformity. They are significantly different. Also, you have not given us the timing of your breast augmentation. From the photos it appears to have been fairly recently (within 6 months). If that is the case, your implants may just not have settled into their final position and may eventually centralize under your nipples. If that is not the case, then lowering the implants slightly, +/- a crescent lift should do it. Good luck!

Your doctor has prescribed a good treatment options based on your pictures and what your breast look like. I would probably do the same.
If the upper pole fullness of your breast bother you, then you could downsize the implants slightly, but this should be helped by lowering the implants at least to some degree.
When it comes to creating the pocket for the implant surgeons should lean on the side of placing the implant high, because the alternative I’m placing the implant to low is bottoming out. In comparison, a high riding implant is very easy to fix and can lead to long lasting quality outcomes. In comparison, when implants were placed low causing the implant to bottom out it is a difficult problem to fix and become a recurrent problem with poor long-term results.
Breast augmentation has a fairly high revision rate, and this should be expected and understood by patients having the procedure. To me, it looks like you’re in the hands of a talented provider and the recommendations are solid.
Best,
Mats Hagstrom, MD