Is this waterfall deformity or am I just not used to having upper pole fullness? (Photo)

It’s an awesome result. A lift with an implant is a difficult procedure to get a good result in one stage and no revisions. Your result is excellent. You should thank your surgeon

It looks like your lower poles are still loose? Nipples' are in good position, but lower pole skin can be tightened at least on one side? You may want to wait few more months and discuss that possibility with your surgeon? That can be done in local anesthesia. Good luck.

Dear RitaRepulsa,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a 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

Your breasts are ok, but you have a small amount of more loose tissue on the lower right breasts. The left looks very nice. Please discuss any concerns you have with your surgeon.

Hi and welcome to our forum!From your photos, I note that there is only slight breast asymmetry (breasts are "sisters", not "twins"). There is no sag, the breasts appear full, there is good upper pole fullness, and the nipple areolar complexes are at the same "altitude" on the chest wall and do not point downward. I do not see a waterfall deformity.This appears to represent an excellent result following tuberous breast correction.Best wishes...