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.

What to do: completely remove the implants and their capsules (relatively easy being over the muscle). Create a subpectoral pocket for new implants. Mesh should be used to preserve the new pocket and obliterate old pocket. Perform a breast lift. Go to a breast expert.

Dear Warmhearted550608,
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. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photographs. I agree a lift was required originally and I would recommend replacing your implants into a sub muscular position and a full lift. Depending on your tissues quality evaluated during an in-person examination you may also benefit from mesh placement. Hope this helps.

You need a mastopexy to lift your nipple position and tighten the breast skin. If your implants fall to the side when you lay flat, you may need a capsule tightening procedure called a capsulorraphy with or without implant exchange. If your implants do not fall to the side when laying flat, you may benefit from fat grafting to fill in the dimple seen from above.

Hello you need to get breast lift and submusculary augmentation and I suggest when you get it done ,you may consider to get tummy tuck in same session .Dr Hakan Demir Board Certificatied Plastic Surgeon in Antalya in Turkey

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.

I rarely EVER say this, but your surgeon did you a disservice! (Of course, I was not present at your consultation and pre-op). You were absolutely a mastopexy candidate preoperatively. Unless you were totally against added breast scars, your surgeon should have insisted on performing a mastopexy (breast lift) with your augmentation. The choice of above or below the muscle is fine.
Now you require a lollipop or modified anchor mastopexy and an adjustment of your implant pockets.
Best wishes.
Dr. Taranow

From your photos and stated goals you will want to consider placing the implants beneath the muscle and having a lift. This will give better position to the nipple as well as remove excess skin. A larger implant is not necessarily the "fix" unless you are wanting more volume. I encourage you to visit with a few board certified plastic surgeons near you for consultations.