Saline to silicone exchange with no lift? Will it cause a problem with sagging in the future? (Photo)

Dear Eclectic229691,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Your heavy implants are sagging now from the weight. A doughnut lift will not correct this. If you go even bigger, that is more implant weight to stretch and thin your tissue and cause more sagging. Please do not go larger.