Am I sagging and am I a 34D? (Photo)

I had my BA done April 29 2015 so it has been 3 months and I feel that they are sagging. Everyone is telling me I'm crazy but I think they have. I had high profile silicone with 550 cc and I was a 34a going for a D which I don't even feel like I am. So am I sagging and at a 34d.

Doctor Answers 14

Am I sagging and am I a 34D? (Photo)

Thanks for posting your question in this site, and also for entrusting your photos.

I do understand what you are experimenting.

Even though  your implants  look nice, they  are getting down to the lower pole. All you need is to ask your surgeon to close the pocket in its inferior part,  and this will do.

Good Luck.

Dominican Republic Plastic Surgeon
5.0 out of 5 stars 46 reviews

Are my breast implants sagging?

Many thanks for posting your question

Fist of all, it appears that your breast size is around a D cup

However the issue that I see is one of bottoming out - it appears that your breast implants are sitting a bit low in the breast. Is this what you mean by sagging?

If so, and it bothers you, then revision surgery might be required.

The best thing would be to discuss with your plastic surgeon

Good luck

Marc Pacifico, MD, FRCS(Plast)
London Plastic Surgeon
5.0 out of 5 stars 47 reviews

Am I sagging and am I a 34D?

I am sorry to hear about/see the problems you are having after breast augmentation surgery. I think your concerns are appropriate; your breast implants do seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”).
It is probable that you are feeling the implants significantly along the lower poles of the breasts. Patients in your situation often complain of discomfort in the area of implant malposition. Also, consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low.  

I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation.
Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with revisionary breast surgery.
I hope this, and the attached link, helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Your impants are low on your chest.

Impants do not sag. Only breasts sag.  You feel that you are sagging because your implants have bottomed out and your nipples are pointing up towards your shoulder. 
It happend because you chose a size larger than your chest could accommodate. 
This is what give an appearence of sag without sag.
You need smaller implants and closure of lower pocket. Then and then alone your nipples will get to their correct position.

Vasdev Rai, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 23 reviews

Sagging, breast size

Hello, over time implants can descend lower than their original position, then the nipple looks relatively high on the breast mound.  This is called "bottoming out" - perhaps you are noticing this change over time.  Regarding your bra size, this is hard to determine from photos but you can have proper bra fitting to determine this.

William Andrade, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 63 reviews


It does appear that you are bottoming out.  You probably had smooth implant placed.  There are newer textured silicone implants that resist dropping like that.  I recommend you switch out.  You may need a breast lift as well during that procedure.

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Sagging breasts

Thank you for your question and providing photos. Based on the photos provided it appears that your implants have inferior displacement. I would recommend you discuss this and your concerns with your surgeon. Best of luck

Christopher J. Morea, MD
Raleigh-Durham Plastic Surgeon
4.9 out of 5 stars 187 reviews

#BreastAugmentation Results

From your photographs, it does appear that your implants are bottoming out. They appear large and have attenuated your skin as well leaving you with clearly visible veins in the skin. There is a way to correct this but it would likely require smaller implants and tightening of the tissues internally. 

Continue to follow up with your surgeon to ensure that you progress as planned. Best of luck, Vincent Marin, MD

San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

Am I sagging and am I a 34D?

Thank you for your photographs and questions. I am sorry to hear about your disappointment with your breast augmentation surgery, but I can see your reason for concern.  It appears that your breast tissues have stretched with time causing your implants to settle too low on your chest, or bottom-out.  Unfortunately this can only be corrected with a revision surgery to tighten the breast pocket.  In order to help prevent this from occurring again you may want to consider reducing the size of your implants and/or using an internal bra for additional support. Talk to your surgeon about your concerns, they can help walk you through your options.  

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 65 reviews

Am I sagging and am I a 34D?

You are not sagging as much as your tissue has stretched and your implants are sitting too low on your chest. This is known as bottoming out and is more common with implants that are large for a patient's frame, with high profile implants in tight skin envelopes, and with saline implants, but it certainly does occur with silicone as well.

At this point, surgical correction is the only option to improve your shape. The goals of the procedure are to tighten the pockets, reinforce the tightening with artificial material like SERI mesh or ADM material and possibly going to a smaller volume implant. The mesh reinforcement is necessary because there is a high recurrence rate when the pocket is tightened without reinforcement. The weight of the implant and the thin nature of the tissue cause the sutures to pull through and the pocket re-enlarges. The mesh has greatly decreased the chances of the pocket enlarging again, but it still does occur sometimes.

Don W. Griffin, MD
Nashville Plastic Surgeon
4.8 out of 5 stars 72 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.