Does breast augmentation on older female require additional periodical maintenance as the sagging continues in the breast?

Hello and I understand your concerns. Without at least photos, it is very difficult to assess your concerns and the best correction options for you. I can say that every woman and every breast is different when it comes to breast reconstruction and if reconstruction was only performed on one breast, it can be more challenging to ensure symmetry between the two. If you are uncomfortable with the advice given by your current surgeon, there is nothing wrong with scheduling a consultation with another surgeon to get a second opinion. Make sure the surgeon you choose is board-certified and has extensive experience in breast reconstruction procedures. Good luck to you!

Dear YelenaMany thanks for posting your question. One inescapable fact is that we will continue to age, and that will affect the breast as much as anywhere else. Your surgeon is right to consider how your breast will age when discussing procedures to address your asymmetry. An implant in a breast (all other things being equal) will be stable, but the breast will age, lose support and sag over time, and over the implant.Therefore, at some point, to address this "waterfall effect" surgery may be indicated in the form of a breast lift.There is no right or wrong about what do to, but I think  it was appropriate for your surgeon to ensure you considered this factor in your decision making.Good luck

Thank you for sharing your excellent question!  I counsel my patients that implants are never lifetime devices as gravity and aging continue to change the breast.  Some patients may need additional surgery at some point to correct the natural aging.  However, that does NOT mean that every patient will require surgery to correct things.  Particularly in your case with an implant on one side and a reconstruction on the other your breasts may age differently.  You always have the option of a small procedure to regain some symmetry.  But if you are satisfied with the appearance of your breasts you would not need any sort of "maintenance."  
In general breast augmentation in an older patient is no different than in a younger patient but your plastic surgeon will take into account the differences in skin and breast tissue quality that will affect placement of the implant.  In any augmentation it is critical to place the implant in a precise position that can limit drooping of the implant with time.