Almost 4 months post op breast lift/reduction revision with 175cc implants. Is high profile possible? (Photo)

What I'm hearing is that you are unhappy with is your bottom heavy breast and would like more upper pole fullness. Implants can be the cause of bottoming out, but breast tissue on it's own can do the same. One thing I would have predicted is that your choice of implant did nothing for the aesthetics except increase volume where you didn't want it and add weight to increase the risk of bottoming out. You are a perfect example of why high profile does not equal upper pole fullness like so many people, including some plastic surgeons, believe. There are a lot of details that need to be sorted out, but some of the things to be evaluated in a consultation are how much breast tissue you have and where are your implants located (above or below the muscle). If the goal now is to optimize breast shape, then an implant would be chosen that would be moderate or low profile to maximize implant diameter for its volume, because implant diameter is what gives upper pole fullness, and a 175 cc HP implant is very narrow and over projecting. The use of a resorbable mesh would also be important to stabilize the implant. If you have an abundance of breast tissue, some of it would be reduced to alleviate weight and the potential for glandular drop out. Go get a few second opinions from breast surgery experts.

Dear MeganW785,
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

Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. One of the most common causes for recurrent bottoming out is implants that are placed on top of the muscle-subglandular position or leaving too much tissue on the bottom of the breast. Either way, you should be able to achieve upper pole fullness by the placing the implants under the muscle, performing an internal bra procedure-capsulorrhaphy, and/or a revision breast lift-mastopexy as well as removal of inferior pole breast tissue. Many years ago, I described a procedure termed "Reductive Augmentation" which includes the above procedures. You are an excellent candidate for this. Best wishes to you.

Thank you for your question. You are correct that your breasts are bottoming out and making your nipples too high. The correction for this is to decrease the amount of skin along the nipple to IMF. Additionally, as you have a history of bottoming out, placing an internal bra will provide the necessary support that you need. Large implants that are pulling the skin down can increase the veins showing through your skin. You may consider downsizing your implants. Good luck.

You may need more support for the weight of your implants with an internal bra of mesh. Laser treatments can be done for the broken blood vessels.

I'm sorry to hear of the issues you've been having. It does appear from your photos that you are bottoming out. You may be a candidate for mesh support to keep this from happening again. I've included a video on this that I hope you find helpful.