Scar has moved from my breast fold (Photo)

Your implants are large and in front of the muscle. They appear to be quite heavy and the skin is stretching out. The implants will continue to descend lower and lower. You will need smaller implants or plications inferiorly and laterally to hold the implants in place. Another option is to remove the implants and do a breast lift. I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Dear Enthusiastic,
Your implants have dropped too far down and the skin has stretched. That makes your nipples at the top of your implants instead of in the middle. The lower pole breast skin can be shortened with a "horizontal mastopexy," but you may need the skin reinforced with some type of "mesh." I prefer Strattice. If the implants are above the muscle, I recommend placing them below the muscle and using the Strattice to reinforce that skin and fold, like an internal bra. Best of luck to you!!