Do I need a breast lift again or can I just exchange the implants and get a bigger implants high profile? (photo)

Dear Kherrera11,

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

You need a lift since your breasts are sagging again. You might do better with smaller implants to be less heavy and mesh for support.

Your breasts have pseudoptosis and you can see in your lateral view the concavity underneath your breast. Adding larger implants will make the situation worse. I recommend scar revision, plication of the capsules and you may want to consider fat transfers of the upper poles instead of larger implants.

Best Wishes,

Gary Horndeski, M.D.