Relift or trimming of skin? (Photo)

600 cc implants weigh over 1 lb each, ae quite heavy and will continue to descend. Your breasts are already low on the chest wall and are much too large. I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your inquiry! Another option would be to add a small amount of fat in the area of the dent to even it out. We would love to meet with you to discuss your concerns. Schedule a consultation with a Board-Certified Plastic to discuss your goals.

Dear winningwithgoobear,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your photos suggest that you should be able to attain your goals with a minor revision. Confirmation of this would require a physical examination. I would recommend that you begin by discussing your concerns and options with your surgeon.

Probably this can be fairly easily revised just be removing some excess lower skin. However, an examination is needed to be certain. Please discuss your concerns with your surgeon.

The decision of what procedure to choose, should be based on having a clear understanding of what the underline problem or ideology is.
In other words, the first step is always to make a correct diagnosis, followed by the prescription of a correct surgical treatment plan.
It sounds like you’ve had More than one previous procedure.
In order to make a quality assessment, we need a complete history, including a complete set of before and after pictures for any previous operation.
This is for better done as an in person consultation.
Based on information included, I’m guessing he used to live in Southern California and now live in Sacramento? For Sacramento I suggest you consider consulting with David Kauffman, MD,
In Southern California, Midland Ambe MD is quite good. The best is probably Mark Kobayashi MD in Irvine or Tom Pusti MD outside of San Diego.
Best,
Mats Hagstrom, MD