Loose saggy skin 9 years after breast augmentation. What can I do? (Photo)

Dear Fantastic589170,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Fat transfers can be done. However, if the skin and breast tissue is quite thin then you risk injuring the implant. If you do not want scars from a breast lift then you are very limited on what can be done.

Best Wishes,

Gary Horndeski, M.D.

Although your one photo is limited, your implants are probably now too large for your tissue. You may need to go down in size, have the lateral pockets tightened, and perhaps have a lift. Some fat could be transferred to help fill in the gap, but fat alone will not completely fix the problem. The problem is your implants are now too large and your tissue is thin.

I think it’s difficult to make a quality assessment based on the information provided.
Either follow up with your provider or schedule a few in person consultations with other plastic surgeons in your community.
If it all possible, it may be helpful to have access to your previous operative reports and original before, and after pictures if consulting with a new provider.
These would typically be part of your medical record, but at nine years may not still be available.
Best,
Mats Hagstrom MD