Changing to 375cc from 275cc to prevent waterfall ptosis, should I do it? (Photos)

From your photograph, it seems that you may do well with repositioned implants and removal of more excess skin and perhaps breast tissue. Unfortunately, the rate of recurrence of sagging is significant with this operation. I would have to do an examination to be able to give you any more information regarding implant size change.

Thanks for asking, you need a secondary breast lift, its not the size of the implants the problem, its your tissue, it must be perform an adjustment of the vertical scar and horizontal.

Dear rmd0302,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hi
It's complicated so if in doubt I would trust your surgeon. Essentially the waterfall deformity is caused by the breast tissue falling off the top of the implant and is not dependent on implant size. I recommend patients that need a lift and an implant to go the smallest implant that they are happy to choose as the more weight in the breast the more the breast will fall over time (this does depend on which type of implant is chosen).
Regards
Damien

From the pictures it seems that you have loose and excess skin. Larger implant will fill the skin more and removing the roll under the breast will improve the hanging skin.

I agree with what your surgeon is planning. Your implants look good size and all, but the breast tissue and skin hanging below the implants will be very helpful. I would not hesitate to proceed. Thank you.

If you like the size, then keep the size. Your own breast tissue has sagged, but not the implants. Long term, smaller implants give less trouble over time. However, the lift is what you need in this area since it is breast tissue sagging and not implants. I would suggest going down in profile. You might need smaller implants with a lower profile to fit your base. Your surgeon has measured you and knows what size and profile is best for you.

It does appear that you will benefit from having a revision to your lift to remove the additional skin. If you are happy with the implant size you do not need to change it. A larger implant may take up more skin, but it is also heavier and could lead to faster sagging in the future. If you are unsure about how to proceed it's best to discuss it with your surgeon who is most familiar with the details of your surgery and how you've been progressing through recovery.