Waterfall Deformity - Do I need a lift with my next Breast Augmentation? (photos)

You probably need a lift to lift up the sagging breast tissue. If you consider going smaller, you will need a lift.

In your pre-operative photograph, your breasts were asymmetrical in volume, shape and position. At this time, they are still asymmetrical in volume, shape and position and have the waterfall deformity. One solution, is to release the fold then the breast can bottom out but can be a problem. The other alternative is to do a breast lift. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Hello @Cool944124 tank you for your question and showing your pictures. Yes you'll need a lift and a change of the location where the prosthesis are located. The prothesis placement is really important when we talk about waterfall deformity. I link a video tho shed more light!. An on-site or virtual consultation with a board certified plastic surgeon is the best way to determine an appropriate intervention by assessing your individual characteristics as well as your goal look. Alan Gonzalez MD FACS