Waterfall deformity - can I get bigger implants or do I need a lift? (photos)

In general, it is not recommended to increase the size of an implant just to lift the nipple. With a typical waterfall deformity, gravity has caused the breast tissue to descend over the implant while the implant stays in place. While increasing the size of the implant can elevate the nipple, the nipple will only rise about 1-2 cm even when the implant is increased in size a great deal. Your original implants were likely chosen by tissue based planning, meaning they were fit to your breast and chest wall specifically. Increasing the implants a great deal beyond this size could predispose you to other problems such as bottoming out, implant displacement, or an overall unnatural appearance. For these reasons, it is typically recommended to lift the breast tissue to fit around the implant than to increase the size of the implant to lift the nipple. In your case, I would recommend a breast lift rather than increasing the size of the implant.

Thank you for your question

What you are seeing is a bit of skin excess that can be fixed with a breast lift. This will make your areolas smaller and lifted and remove some excess skin and therefore make your breasts more aesthetically pleasing.