Will going to a bigger implant improve my sagging or make it worse? (photos)

The first decision you have to make is whether you are
satisfied with the volume of your breasts.
If you want a larger cup size, you will need larger implants. If you are satisfied with your cup size, you
do not need larger implants. Next, you need
a breast lift. You have undergone a
traditional vertical scar technique, which resulted in an inadequate lift. I recommend a new technique called Implant
Exchange with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. Aligning the areola, breast tissue and
implant over the bony prominence of the chest wall maximizes anterior
projection with a minimal size implant.
Small round textured silicone gel implants placed retro-pectoral look
and feel more natural, are more stable, less likely to ripple or have
complications needing revision. Implant
profile is irrelevant in the retro-pectoral position since the muscle
compresses it. The worst thing you can
possibly do is add larger implants. Best Wishes,Gary Horndeski, M.D.

Every situation is different and there is no way to offer much useful advice without an in-person exam, but here are a few things to consider: In general, larger implants make sagging worse in the long run, not better; implants need to be symmetrically placed before assessing nipple position, and your implants do not appear to be at the same level; and your implants also appear to be appropriate in size for the base diameter of your breasts so upsizing is probably not the best idea.

Thank you for your questions and photos.  It appears as though going up to 500cc implants will prevent you from needing a lift, but I'd have to see you in consultation to give you an exact answer.  It also looks like the right implant needs to be lowered a little bit.  Visit the website listed below for more information, including before and after photos.Kind regards,Dr. SchreiberBaltimore Plastic Surgeon

Hello!After evaluating your pictures i can see that you have a noticeable asymmetry cause by the implant im part but mostly by excess of skin that causes that sagging.I strongly suggest that you focus on a Mastopexy, or breast lift with implants, is a procedure designed to improve the appearance of sagging or ptotic breasts.You can use the same size(Not the same implant) that you have(340cc) or a little bigger and get some excellent results.Remember that a big implant will be firm at first but in long term will produce a more saggy breast.You take care 

Hello!  Thank you for your question and photos!  Given your photos, the appearance alone show some asymmetry with the implant position as well as the nipple-areola complex (NAC).  Although difficult to tell without an examination, you may be developing a capsular contracture, at least on your right, which could be contributing/casing your implant to be displaced upwards.  But, an examination would be needed to determine the look and feel of the implant.  At 4 months postoperative, your breasts will likely not improve with additional time.  It may be possible that you will need revision, involving capsule/pocket work, repositioning of the implant, and revision of your breast lift to place your NAC at an aesthetically-pleasing position at the most projecting part of the breast and a few centimeters above your breast fold.  It is hard to discuss recommendations without a physical examination.  I would discuss your concerns with your surgeon who can examine and tell you the various options given your expectations and goals.  Hope that this helps!  Best wishes for a great result!

It may seem like larger implants will make your breasts look
more uplifted, but actually the opposite is often true. In your case, your
implants are high on your chest, while your breast and nipple-areola are not
positioned over the implant.A
combination of lowering your implant, which appears too high, and performing a
breast lift that positions your breast over the implant is more
appropriate.If you simply placed a
larger implant, it will make the breast look even more saggy.

If you want higher, fuller breasts, visit a plastic surgeon
who specializes in breast implant revision, and talk about your options. Be sure to bring in photos of your ideal look
and breast shape to give your surgeon a visual to work from.

Over the internet very hard to be exact as to your issues. 1. To high riding implants, poor inferior pocket dissection. 2. poorly done lifting. Seek in person second opinions... 

Thank you for the question and pictures. Unfortunately, online consultants will not be able to provide you with specific enough advice to be truly helpful.  Keep in mind, that the issues at hand may be more than simple breast implant volume issues; adjustment of the breast implant pockets and/or  revision of the previous mastopexy may be necessary to improve symmetry as well. Of course, much will depend on your physical examination and specific goals.  Given your questions and concerns, you'll be best off spending additional time with your plastic surgeon communicating your goals carefully.  Generally speaking, the best online advice I can give to ladies who are considering  revisionary breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as  “natural”  or  "C or D cup”  etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate. The use of computer imaging technology may also be very helpful during this communication process.3.  Once you feel you have communicated your goals clearly,   allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery,  with the help of temporary sizers which allow for  the most accurate evaluation of breast size/symmetry ( with you in the upright position).I hope this (and the attached link, devoted to  revisionary breast surgery) helps.

You have breast asymmetry with perhaps the right implant being quite high and the breast falling off the implant. An exam in person would be valuable to offer a possible solution.