17 year old silicone implants - Do these breasts need a mastopexy? (Photos)

In my experience, you do not need a breast lift.

Some internal pocket adjustment (capsulotomies) to better fill the lower poles and bigger implants for more upper fullness. This should give the results you desire.

Further discussion with your/a plastic surgeon is recommended.

You can consider having an implant exchange with no lift. However it is important to note that it will not correct the nipple asymmetry nor lift the nipple position. You will have a look similar to what you have now, only larger. See a board certified plastic surgeon near you to learn more.

Dear Modest,
Thanks so much for your question! From what you’ve shared, it doesn’t sound like your breasts have significant droop, which is a good sign when considering whether a lift (mastopexy) is truly necessary. There does appear to be some asymmetry, and that’s something that could potentially be improved with revision surgery.

If you’re looking for more fullness, going with a larger implant is one way to achieve that—but it’s important to keep in mind that bigger isn’t always better in the long run. Your anatomy, skin quality, and overall goals all play a big role in choosing the right size and approach.

The best way to get clear answers tailored to you is to meet with a board-certified plastic surgeon for an in-person consultation. They’ll be able to assess your current implants, your breast tissue, and help guide you on the safest and most beautiful option moving forward.

You're asking all the right questions—now it's just about finding the right partner to walk you through the next step!