Did my implants not drop and fluff at 9 months post-op? Why do they look so long and not perky? (photos)

This is common problem women have when they undergo a breast augmentation and lift with very heavy and large breasts. This is also more common when a high profile implant is used as well. The over -projecting implant acts like a ledge and the breast tissue begins to weigh down on the skin of the lower breast, causing tissue stretch and descent of the breast tissue. You'll need a revision surgery that involves re-lifting and REDUCING breast tissue, as well as replacing your current implant with a moderate profile device, possibly larger to make up for volume lost in the lift.

Hi and thank you for posting. The good news is your implants and their placement seem to be perfectly fine. They have dropped and settled nicely. The issue is the breast lift.

A breast lift is essentially the repositioning of the nipple-areola complex plus tightening the lower pole. This is hard to do when adding implants, especially if they are large implants. It is challenging because some patients don’t want to reduce their size. But in reality, this type of lift requieres a reduction (excising tissue, mostly from the lower pole), as well as an augmentation (adding implants), and then a lift.

I believe your have still have too much lower pole tissue and your areolas should be higher. If your are unhappy with your results you will need a breast lift revision. This is actually easy to do now that everything has settled so you will have excellent results!

Best of luck,
Dr. Miguel Mota