Sagging after less than 3 years on a high profile implant?

The sagging over three years is unlikely due to any aspect of how your surgeon performed your procedure, but rather the size of the implants, and the characteristics of your skin.  Different patients have different scan and different degrees of elasticity and resilience.  It is not uncommon, particularly with large implants, for the breasts to drop over time, just as they would if they were naturally heavy.Best of luck!
Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

of implants, they were likely still riding a little high, over time either they settled OR your breast tissue has started to sag more OR some combination of the two. Gravity always wins over time, especially with large implants.

Hello,Thank you for your question and photos. A few things which can affect the sagging of breasts over time are skin elasticity, weight of breast, pregnancy and weight loss. I recommend that my patients wear a supportive bra regularly- even at night. In the long run, a secondary surgery such as breast lift is sometimes desired in order to maintain a perky look.I recommend that you see your Plastic Surgeon in person for an exam and discussion of options.All the best

Thanks for your question and the photos. The Photos don't show a lot so I will have to discuss the concepts here. There are two things that can go south after BA. The implant itself, and the natural breast tissue.  The larger the implant, the more it responds to gravity over time. It is a paradox. We want to make our patients happy, and many women want larger implants, but in placing larger implants there is more likelhood they will go down over time. It is hard to convince a patient that the short term gain may not be worth the droop over time. Your early picture is likely before you fully dropped. There is dramatic upper pole fullness that patients enjoy before the implant gets to its normal position. When they get to their normal position the thinking is often " I liked them when they were higher-- I should have gone bigger". The opposite is true. Biggger would have likely relaxed more.Natural breast tissue also responds to gravity. Any woman with a good amount of natural breast tissue will always regain some droop. I actually think this looks more natural. Natural breast relaxation is dependant on other factors as well such as weight gain and loss and hormonal variation.Many patient want what I call a "gravity defying breast". Patients with this kind of result are usually younger women with good skin tone, little natural tissue to begin with and a common sense size implant. In this situation there is little to go south.If your implant is in good position and the issue is natural tissue droop you could consider a lift and even reduction of the natural breast, leaving less natural tissue to go south.  elevating an implant would be more complex but is possible. Hope these concepts make sense.

So hard to tell from the photos you submitted. Implants do drop a bit with time. Especially if support is not worn. The other issue is what your skin was like prior to surgery. Do you have children? Did you breast feed? How old are your? Have you had a weight loss? All of these things affect your results
Hope this helps.
All the Best 

Dr. J

Sorry to read about your disappointment. In general breast implants settle down and reach their final shape at around 9 to 12 months. The most common reasons for the results of surgery to change after that could be from pregnancy and/or significant weight change.

It is difficult to respond exactly without photos and better yet an exam in person. More details about your history are important like your age, overall health, sun exposure,  smoking history, etc...

All implants will stretch and strain the surrounding breast tissue over time. Wearing supportive bras daily and sticking with moderate sized implants may help mitigate this, but ultimately there will be some drop.

What you are seeing is the natural ageing of breasts. Gravity wins every time -- the old saying that the bigger they are the harder they fall is true. You just have to get used to it. To prevent sagging wear bras and push up bras all the time. Sorry -- but that is nature. 

Based on your two pictures and without a consultation/examination, it is difficult to give you sound medical advice. A physical examination would determine breast ptosis or pseudoptosis (bottoming out). Best wishes!