Will a breast implant revision with 250cc high saline implants help with my concerns? (photos)

Although you do not provide photos, making this all guess work, if you lack upper pole fullness you do not want to switch to an implant with a smaller diameter than the one you have now just because it's a high profile implant. This thought process indicates you do not understand what makes upper pole fullness, which I believe is informed by a pervasive misconception among not only patients but surgeons too about what a high profile implant does and doesn't do. Yod need to visit a few well regarded experts in revision breast surgery to give you options.

Thankyou for your query. Based on your photographs, when you get a revision of your implants with smaller, high profile implants, saline or silicone, a breast lift (mastopexy) will be very helpful in achieving your desired results. I prefer silicone implants because of their feel and also because they seem to keep the upper pole fullness better than the saline implants. Please find an experienced Board certified surgeon who can examine you and help you with all your concerns. All the best!

Breast implants do not correct sagging or create upper pole fullness. If you are having a problem with descent you will need a lift. Many women do not like lifts because of the vertical scars associated with traditional techniques. An alternative to consider is The Bellesoma Method. I would need photographs to give you a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Dear Lsf2022,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The crescent lift helped but does not seem to have achieved your goals for significant upper pole fullness. While you could downsize the implants as you suggest, consideration should be to move to the higher profile implants (you wrote high profile and there is ultra high as well), but also consider moving to a full mastopexy (breast lift). A full consultation would be necessary to evaluate your tissues, measurements, and all your goals. I recommend you work with a Board Certified Plastic Surgeon.