Do I have waterfall deformity after breast implants? (Photo)

Yes this does appear to be a waterfall deformity. The usual way of correcting this is to have a breast lift (mastopexy). However I have managed to correct this in milder deformities (which yours appear to be) by exchanging round implants for anatomical (teardrop) shaped implants. 

I am sorry to hear that you are unhappy with your results. You appear to have some sagging breast tissue hanging from the implant, causing this unideal shape. This is often referred to as the “Snoopy Dog” deformity. The only way to address this is with a breast lift. A breast lift will raise the nipples and improve your overall breast shape, giving your breast a more youthful appearance. I recommend reaching out to your surgeon to discuss your options. Best of luck!

Hi Abs878787,

Breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.

Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.

While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.

If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Also, you may need to wait until after 6 months when your implants have completely dropped and fluffed into their final position. Only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

Your pictures appear to show a classic waterfall effect, with the implants centered on the base of the breast but the breast tissue sagging. A breast lift is the best solution for this. 

Based on the photo, you do seem to be having a "snoopy dog" deformity. A breast lift can correct this. Schedule an appointment with your surgeon for an in person examination and a detailed discussion of your revision options.

Thanks for writing,It appears you do have a waterfall. A nice mastopexy should make you look great. find a Board Certified Plastic Surgeon who can help you understand what’s going on and how to help you.Stephen M. Davis, MD, FACSCertified: American Board of Plastic SurgeryMember: American Society for Aesthetics Plastic SurgeryMember: American Society of Plastic SurgeonsMember:RealSelf Hall of Fame 

it does look as if your implants are sitting in a good position but your breast tissue is falling off the implants. You have two main options. 1) Lower the implants 2) tighten the skin of the breast by a mastopexy (or uplift)

Hello. Thank you for your inquiry.

It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind