Should my breasts look like this after a lift and implant exchange or will I need a revision? (Photos)

Synthetic mesh is a popular aesthetic surgery practice in the US to "hold implants", not in the rest of the world and it is for a reason. In the us market you don't have available bio-velcro implants coated with polyurethane, which stick to the chest and prevent bottoming out, this on top of the use and abuse of smooth breast implants (another peculiarity of the US-based surgeons), which nave close to null adhesion to the ribcage. However, it is a biologically very unwise idea to set together and in contact a non-living prosthesis (breast implant) with another non-living prosthesis (the mesh), the rate of calamitous complications is, evidently, high.

However, you don't seem to suffer from bottoming out (in need of "holding" your prostheses), but a low set planning for the breast lift you have received, poor planning affecting also to the shape of the breasts.

Note how the upper polo of the breast is hollow, this is because you have round shaped implantes; no hesitation to get new anatomical shaped implants that are designed to competely and naturally fill up the cleavage.

Seek the advice of a solid and reliable revision mammoplasty surgeon.

I recommend explantation and lift using 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 can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.