1 year post breast augmentation, what can I do to achieve my desired look and address Cleavage and upper pole? (photos)

Thank you for your inquiry. I do think a breast lift would give you more of what you are looking for. When the nipples tend to point downward instead of straight ahead, that is when we recommend a breast lift. Adding implants to sagging breasts will just give you a bigger version of what you started with. A mastopexy will remove the loose skin, bring your nipples up to the center, and give you more upper pole fullness. If you decided on a breast lift, you don't need to change your implants unless you wanted to change the size. I think the current size is good and you would have the results you are looking for with a breast lift.

I'm sorry that you are feeling lost and unhappy with your results. If you have any further questions or concerns, you can reach out to us and we would be happy to help.

All The Best,
Dr. (Joe) Gryskiewicz

You definitevly need a lift. Considering that you have enough soft tissue coverage, there is no need to place the implants underneath the muscle, although it is a possiblity. Cleavage and upper pole fulness will be improved with lift and impant lift in a more proximal position but it can be further improved with fat grafting; I would not suggest doing that before lift result have settled (at least one year after lift). Hope this may help. Good luck.

You need a lift. You just choose implants which gave your larger and still sagging breasts. However, your breasts naturally sit somewhat low on your chest and the bases cannot be raised. You will not have high perky breasts even with a lift, but can get much improvement with a lift.