Would I benefit from a breast lift? Already have implants, concerned about asymmetrical nipples (photos)

In your pre-op photograph, you can see you need a lift. At this time, I recommend explantation with The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

It is hard to tell for sure, but your photos suggest you would benefit from a lift. An in person exam to measure your breasts and nipple position is needed to help you make a final plan.
Also, congratulations on your weight loss! That is an incredible accomplishment!

One sided lifts are not a good idea and periareolar lifts don’t give you the lift you need. You could convert both sides into a full lift but you might need to switch to smaller implants as well. And then you need to decide if all those scars would be worth it

Dear Tasteful570014,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Congratulations on your weight loss! You need a lift, a vertical lift, to reposition your sagging breasts. Implants do not lift.