What are your recommendations for implant revision post breastfeeding?

Hello and thank you for your question! It sounds like you are interested in smaller breasts with down-sized implants. Your nipple position is low suggesting that your skin has stretched with the changes in breast size you experienced during and after pregnancy. If you go to a smaller implant, your nipples will appear even lower. Your best bet is a revision augmentation with smaller implants and a breast lift. Best of luck!

The ideal thing would be to have a lift and smaller implants. If you don't want the lift you could simply downsize instead if you feel your breasts are too large. Look into the possibility of the lollipop lift. Fewer scars and it would improve the shape considerably.

Dear blondie2021,
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

If you want smaller, go smaller, and get the lift so your nipples and breast tissue won't sag. If you are planning more children, wait on the lift.

Your breast size now looks very nice and matches your frame. The issue I see right away is that your breast tissue is 'hanging over' your implants. You should consider a lollipop mastopexy (breast lift) to make them perky and younger looking.
Best wishes.
Dr. Taranow

It is not uncommon for the breasts to change after pregnancy and breastfeeding. Based on your goals you will need to consider a breast lift. The current implants can be replaced with smaller ones beneath the muscle for a more natural look and feel. See a board certified plastic surgeon near you to learn more.

Your anatomy suggests the usual changes post partum.

The procedure needed is a breast lift with smaller implants and I my opinion some soft tissue support.

Good luck

No way you are going to be happy without a lift. I would place smaller implants under the muscle, galaflex for support and a lift