Is it normal for my breast to be flat at the top and full and saggy at the bottom? (photos)

Dear Mzcanez09,I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

along with your post-op photos, there would be a huge improvement.  Yes, you are not perfect but when you go under the muscle, having the animation and distortion you see with arms up is normal.  You are at the point where you should have been able to critique your outcome with your surgeon so that your surgeon can come up with options for improving your outcome if your concerns are truly appreciable to your surgeon such as fat grafting to your upper poles that you want fuller.