Why can’t you achieve upper pole projection with breast implants?

Dear LiliDiaz,
upper pole fullness is achieved with appropriate implant selection but more importantly, submuscular placement, and precise pocket dissection. The submuscular placement allows the muscle to cover the top part of the implant which allows the upper pole to appear more full. Keeping away from the lateral chest during pocket dissection allows the implant to remain higher and prevents it from falling off to the side.
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 using too large of an implant in lieu of performing a breast lift. 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 breast lift-mastopexy. Best wishes to you.

If you are selecting large heavy implants, they will not stay up high from thinning and stretching your own tissue. Since you bottomed out twice, I suspect your implants are too heavy for your tissue. You can also add a fat transfer to help give more upper breast fullness if you have donor fat.