Pocket revision / lift / capsulorrhaphy (Photo)

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.

Dear cassiel6,
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

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