Pocket revision / lift / capsulorrhaphy (Photo)

Please resubmitt photos that show your whole chest from the front and side view. What you posted is not much help.

It would be very difficult to give you meaningful advise based on this photo. Only on the basis of in person evaluation, a board certified plastic surgeon can make good assestment of your condition and suggest appropriate treatment. Good luck.

Thank you for your question. A large portion of my practice is dedicated to breast revision surgery and complex breast issues. Your anatomy dictates that you definitely will need a lift. I have seen this scenario to many times in my career in which someone does not want to have a lift, and their breasts are already drooping. Placing a larger implant will cause your breast to be larger and droop more. It's simple physics. The situation is always worsened when you have implants on top of the muscle. There is nothing to prevent the implant from sliding down the chest. You are an excellent candidate for reductive Augmentation with repositioning of the implant in the subpectoral pocket and breast lifting. This combination of surgeries is fairly common in my practice and you should be able to have reactive breasts which are much higher in your chest. Best wishes to you.