Recommendations, please: above/below muscle, size, style, shape of implants? (Photo)

Your breasts are still low on the chest wall. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided and nipple sensation (in 95%) is maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

It's great that you're seeking advice on the best approach for your breast augmentation. As every individual is unique, it's important to have a thorough consultation with a board-certified plastic surgeon who can help you determine the best options based on your specific needs and goals.

During the consultation, the surgeon will consider various factors such as your breast anatomy, skin elasticity, and the amount of breast tissue present to determine whether the implant should be placed above or below the muscle. They will also help you choose the appropriate size, shape, and style of implants based on your desired outcome.

In terms of achieving upper pole fullness, there are various implant shapes that can help achieve this, such as high profile or moderate profile plus implants. These implants can create a more rounded and lifted appearance to the breast.

Your surgeon may also recommend a breast lift (mastopexy) in conjunction with the augmentation to achieve the best results. This can help lift the nipple position and improve the overall shape of the breasts.

It's important to discuss all of your options and any concerns you may have with your surgeon before proceeding with the surgery. They can provide you with a comprehensive treatment plan tailored to your individual needs and help you achieve the best possible outcome.

I hope this helps,
best of luck !