Will my implants drop enough to fill out my breast at the bottom? (photo)

Thank you for your question and photograph.  I am sorry to see that you're breast implant has not dropped into the breast pocket and is high above your nipple areola.  This is often called the snoopy deformity.  Based only on your photograph a full lift is most likely required.

Although your photo is from a poor angle, your areola/mound relationship is significantly off, and more than implant settling and dropping may achieve over time. That is why your surgeon is now backpedaling a bit. Perhaps s/he truly felt this could be accomplished, and did her/his best. But without measurements or pre-op physical examination information, I can only second guess your surgeon's assessment and judgement. You ultimately selected your surgeon and accepted his/her credentials, experience, and surgical plan. So for now, give yourself and your surgeon the time needed to really find out if s/he was correct, and if not, what the best secondary plan would be. I'd say you should have a pretty good idea if this will work out by 3 months post-op, and I would not recommend re-operation any earlier than 6 months after your initial surgery. Longer is better, but you probably won't change a lot after 6 months and will know which direction your decisions will be going at that time.For now, stop obsessing and follow your surgeon's advice. Otherwise, your surgeon has an "excuse" for this not working as planned. Best wishes! Dr. Tholen