5 months post op 590cc UHP corse silk surface unders and my boobs are saggy and flat. Thoughts? (photos)

Dear Billie32,Implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid them. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You have the maximum projecting implant available!  A lift may help tighten the overlying breast tissue. Dr. G

Hello,
You may have expected too much from the implants. It is normal to feel implants at the bottom of the breast in many patients as it is only covered by thin skin and some breast tissue. Your nipple position is low and was likely that way prior to surgery. That leads me to believe you likely require a breast lift in addition to the implants being a bit high. Over dissection of the pocket does not give rise to the things you have mentioned. Best of luck.