425cc, round silicone, 5'3, 6 months post-op - what has gone wrong here? (Photos)

Seeing you before pictures may help but you clearly need a revision. The hard part is the Areola is too big now, your implants too high and you may have some capsular contraction which needs an exam to confirm. IMHO a peri areola lift (Donut lift) is the most common lift that creates hard to fix problems. Pease see a few experienced plastic surgeons for consultation. You may need to remove implants then wait and redo the lift then 4-6 months later put implants back in. Goog luck!

Hi, sorry your experiencing this after your breast surgery.

It is fixable! Your surgeon would be able to figure out the different components that are giving this result. Have your implants moved upwards since the surgery? This could be a sign of a capsular contracture which is lifting the implant out of your natural breast tissue giving the appearance of the natural breast tissue falling off the face of the implant. If you and your surgeon find that the implant is in a suitable position then you would need a breast lift to center the nipple and areola over the breast implant. An additional removal of breast tissue on the bottom of the breast can be performed to reduce your chances of having it recur in the future. It will also give you the opportunity to revise your scars. You will need no less than a "lollipop scar" pattern as a periareola lift would not be adequate in any way!

Best of luck,
Dr. Reilly

Thanks for reaching out and sharing your concerns. While we didn’t perform your original surgery, we can see why you’re feeling unsure about your results.

From what you've described and the image provided, it sounds like you may be experiencing a combination of implant malposition, possible waterfall deformity (where natural breast tissue drops below the implant), and some scar placement or healing issues.

I'd recommend an in-person evaluation by your surgeon or a board-certified plastic surgeon is essential for a proper diagnosis and treatment plan.