What would be my best option for breast implant revision? (photos)

It looks like you may have had a tubular breast prior to surgery, which is a short distance from nipple to bottom of the breast and a wide gap between. That results in a trade-off between implant diameter and risk of bottoming out due to lowering the fold. The implants should be moved up, with a capsulorrhaphy (internal sutures), and internal bra with Galaflex if the the tissues are thin over the lower pole of the breasts. You may have to settle for a wider gap between the breasts than you want though.

Good morning,
You do have bottoming out. This is commonly seen in overdissection of the pockets during surgery. I correct bottoming out with the Original Internal Bra, my strong permanent internal suturing technique. I first developed this technique over 20 years ago, and today it is the most common revision procedure I perform, at least 5-6 times a week- it works and it lasts! We can add a sheet of Strattice mesh as well, which does provide additional strength and support, but the key is the suture repair with the Original Internal Bra.

Dear NeedaMMO,
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