What is wrong with my breasts? I had 275 cc Mentor moderate plus profile about 18 months ago. (photos)

You have a good result, I agree. Your low nipples probably need to be lifted and perhaps you can talk to your plastic surgeon about a smaller breast implant. If you want to avoid the contour lines then consider tear drop breast implants. I don’t think fat grafting is the answer for you. 
Good luck. Dr. Aldo

HiThanks for your question and sharing your photos. Unfortunately your complaints are too specific to be addressed just based on the recent photos especially without seeing your pre-augmentation photos. One of the photos suggests your left nipple is lower than the right but that may be because of your hand position while taking the photo.I would recommend a follow up with your PS to discuss the specific complaints you have. He or she can then examine you and compare your current appearance to your preop photos to explain why they think you have your result. That would be more beneficial to you than any advice based on your photos. If after you do this you still aren't satisfied then pls see a board-certified PS for a second opinion. As a general rule if you feel your nipples are too low a mastopexy (lift) could address that, while increased lower pole volume could be achieved by expansion of the area and higher projecting implants.I hope this helps.....

I would run through the options with your PS which include removal, replacement with a more projected anatomical implant, +/- mastopexy +/- fat transfer. You have a reasonable result and simply lifting the nipples may be sufficient. If you want more volume you could opt for a removal and replacement with an anatomical implant. If you want to be smaller then removal and a lift +/- fat transfer is an option. 

determine what may have happened in your case but implants are only guaranteed to make your fuller and larger, nothing else.  If you had less than full breasts with short lower poles, you could have expected your outcome from that.  In my practice, I focus on having the upper poles level and at the right amount of fullness desired.  If the nipples are low still, then a breast lift will be needed to make the breast appear perkier.  If you want your nipples up and more fullness on the bottom, you must either have a lift or lower your fold and implant... what will work best for you can only be determined by your conversation you have with your surgeon.

Patients need to understand the limitations their own starting points place on the results from surgery. "You can't cheat mother nature" in other words. You look like you have minimal skin from the crease up to the areola and this tethers the nipples low and makes lower pole fullness impossible with any implant or fat grafting. Please accept what your body brought to the table and try to be happy with your improvement.