Exchanged 400 moderate plus for 500 high profile - why do I lack upper pole fullness? Would a lift help me achieve this?(photos)

Hello thank you for your question. Upper pole fullness is ideal and initially all implants look great, on a long term basis, even with high profile implants there will be a drop. There are a lot of factors that come into play. Breast implants along with your natural breast tissue will naturally fall over time with gravity. We have not quite figured out how to stop the affects of gravity just yet. Most people who have breast implants , like the look of the implants sitting up higher. In the photo of selma hayek wearing a dress and what looks like a bustier top dress most likely looks a lot different when she is without support.

Dear SF101,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery