Can I go bigger and hide scar? My implants are bottomed out (Photo)

Based on your photos, you do have inframammary fold malposition, AKA “bottoming out”. You can absolutely go larger than 375cc and I feel that 500-550 HP implants would be extremely reasonable and would give you the result you are looking for. Mandatory in your repair, I believe, should be placement of a soft tissue support scaffold such as Galaflex to maintain your inframammary fold over time. You could either keep your implant sub pectoral or switch them to subfascial and that is a conversation you and I would have at the consultation. The majority of my practice is breast revisionary surgery, please feel free to call my office if you have any questions.

Dear evangeline jamie,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

A capsulorrhaphy to support the implants in a higher position is required. I would recommend a capsulorrhaphy and not larger implants because you will continue to suffer from this with larger weightier implants.

Do not go bigger. Your tissue is not supporting the weight of your current implants and will not support heavier implants. You need to go smaller and may need an internal bra of mesh for better support. The inferior pocket can be tightened and raised back up so the scars are more in the crease.

Hello and thank you for the photos and the question. All breast augmentation procedures involve some dropping of the implant during the healing process. this is normal it's important that when the procedure is done that the pocket for the implant created properly fits the implant, and should be neither too large nor too small. Under the muscle implants are the preferred way to do this procedure however sometimes the activation of the muscle overtime creates downward pressure on the implant pushing it lower and lower. It is important to remember that after a sub muscular implant is placed that very little upper body exercises performed during the healing process. Based on your photos, you have an excellent overall shape end result from your plastic surgeon. There are different methods and techniques designed to lift the implant pocket and tighten this area to keep this scar in the crease however none of that is guaranteed and if you go to a larger implant it almost always will lead to further dropping of the implant pocket. I don't advise you do these things at the same time. If you are determined to go with a bigger implant, I would suggest you do that first, then wait a year to allow for adequate healing. At that point in time your plastic surgeon can determine how much to raise the pocket and tighten the lower pole of the soft tissues to prevent the pocket from dropping too low. Regardless, there will still be a little bit of dropping of the pocket because of gravity and the activation of your pectoralis muscle and you should be prepared for this.

Your wish pics look like high profile and appear OVER the muscle, which I also don't recommend.

Remember to be healthy, no smoking, and make sure any medical conditions you have are being managed by your primary care MD. Best to you.