Do I need another breast lift or can I get larger implants over the muscle? (Photo)

You will need another breast lift. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Hello! Thank you for sharing your doubts with us. In your case we recommend performing a breast lift, and placing a high projection polyurethane implant, to obtain more firmness. We are here to help you!

Dear valeryarbelo,
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 implants are sagging and bottoming out. You need to have your inferior pockets tightened. I do not suggest going larger since your tissue may not support the extra weight. It is not supporting these now.

Based on your photos you will need a revision to your breast lift when you exchange your implants. This will improve breast shape and nipple position as well as give you the added volume from the new implant. See a board certified plastic surgeon near you to learn more.

I suggest change to silicone implants, around 300 cc, round and over the muscle and a revision mastopexy with particular attention paid to keeping the nipple to crease distance between 5-6 cm

Based on the posted photos I recommend two surgery stages. Stage I: Redo left breast lift for symmetry. Wait 3-6 months then StageII: exchange to 600 cc implants. Best to virtual consult with...