Why do my new implants look saggy? (photos)

I just got silicone implants four months ago. I loved the look when I first had them done after they dropped just slightly. Now I feel like I have saggy old lady boobs. I was assured multiple times by the doctor that I do not need a lift, but here I am completely dishonest fight with my result. Advice? I can't pay for this twice.

Doctor Answers 18

New implants saggy?

I have to agree with other responders that, in my opinion, you have a VERY nice, natural-appearing result.  There is no sign in your photos of any sagging, i.e, no overlapping at the inframammary fold area; and you have good upper pole fullness, cleavage, and symmetry.  So I cannot fault your surgeon for excellent results.

Perhaps you preferred the rounder, "augmented" look you had before the implants settled into position.  If that is the case, you might benefit from higher profile implants with the same base diameter.  Share your concerns with your surgeon and see if you can work out a solution that will make everyone happly.

Cleveland Plastic Surgeon
4.6 out of 5 stars 18 reviews

Implants and sag

Thank you for your question. Your enhancement is excellent. You have experienced a normal settling of your products and  their position reflects your preoperative anatomy. Remember your implants are designed to restore volume to the breast not lift it.  I agree with your surgeon you did, and still do not need a lift. Enjoy your results. Best of luck.

Bruce Landon, MD
Tampa Plastic Surgeon
4.6 out of 5 stars 18 reviews


Your nipples are in good position and you look great.  Your implants have settled and maybe it is the size if the implants that you do not like.  I think you look great and would recommend you wait a few more months before you decide to have any revision.  Best wishes. 

Jules Walters, MD
New Orleans Plastic Surgeon
5.0 out of 5 stars 46 reviews


Your breasts do not appear to be saggy, but a nice result, natural looking. If you want an augmented look you will need a larger diameter, more projecting implants.

Barry M. Schwartz, MD
Weston Plastic Surgeon
4.0 out of 5 stars 4 reviews


Your breasts are NOT saggy. They are normal. It takes implants 3+ months to settle -- and that is what happened to you. Also remember -- the bigger the implant the more they settle. Get used to them - they look great. 

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

Post Op Concerns


Thank you for your question and photos. There doesn't appear to be any lax/sagging tissue so I'm not sure what aspect of your result you are unhappy with but I do recommend that you see your Plastic Surgeon in person to discuss your concerns and options.

All the best 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 169 reviews

Why do my new implants look saggy?

Thank you for your question. Without pre op photo's its a bit difficult to give a clear answer.  You may have needed a peri-areolar lift, a bigger implant, or it's just how you're anatomically made, which is hard to say without pre op photo's.   

Chad Robbins, MD
Nashville Plastic Surgeon
4.9 out of 5 stars 45 reviews

Overcritical - I think

From your photos, it appears that you have a great(!) result.  Several caveat's.  The photographs you show are not with your arms at your side.  Does the shape of your breast change with your arms down?  Additionally, it would be extremely helpful to see pre-operative photographs.


It looks like you have a great result . Your surgeon probably felt you did not have enough drooping to warrant the extra scars of a lift . Extra upper pole fullness can be achieved later with some fat grafting if desired

Breast augmentation - unhappy with result

Thank you for asking about your breast augmentation.

  • I am so sorry you dislike your result.
  • Your surgeon is right - you do not need a lift.
  • Your result looks very pretty. .
  • The roundness you - like many women - liked right after surgery is from swelling -
  • The swelling subsides over a period of months.
  • If you feel you chose too small an implant, wait until six months after surgery and then consider having an implant exchange.
  • however you appear to have some breast skin stretch marks - these suggest that the larger the implant, the less your skin will be able to support it - so ask your surgeon before going too much larger.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.