How to Fix Breast Augmentation "Waterfall" Effect?

Thank you for the question and picture.

 

Although the results of  breast surgery in your case will never be “perfect”,  I think there is certainly room for improvement. This may involve adjustment of the breast implant pocket and further tailoring of the overlying “skin envelope”.

Please do your due diligence and find a well experienced plastic surgeon with significant demonstrable examples of his/her work.

Best wishes.

Your breast and implant procedure are treating two different conditions and it would be best for you to wait approximately 6-9 months and then consider a revision. At this point in time, it is quite likely that, using your existing incsions albeit with lengthening the lateral limb of the horizontal component, you will be able to reduce the redundant tissues of the lateral pole of your breast mound.  

You appear to have sagging of your breast tissues relative to the breast implant. Your nipple/areola appears to be in good position. I would recommend a revision of your mastopexy using your existing vertical and transverse scars. This will tighten the lower pole of your breast and restore a natural lateral curvature to your breast. I have no experience with mastopexy techniques using mesh (Goes?) but some of the more experienced surgeons on this forum may have.