What Should I Do to Add Volume to my Upper Breast?

Unfortunately, you have not provided any photographs or your bra size.  There is a new technique called The Mini Ultimate Breast Lift, which uses only a circumareola incision to increase upper pole fullness.  This technique will reshape your breast tissue, elevate them higher on the chest wall and more medial to increase cleavage.  At the same time, your implants can be repositioned or replaced to achieve your desired goal.  The best implants are silicone gel placed retro-pectoral since they look and feel more natural.  You may be an excellent candidate for this new technique.

Best Wishes,

Gary Horndeski, M.D.

As you know an in person consultation with an experienced plastic surgeon is required in order to get specific advice, but often the problem you describe happens when the implants settle and the muscle pushes then down and out. Pocket reinforcement with a Strattice graft can be very helpful to hold the implants up and in, sort of like a living internal bra.

Without seeing a photo, it is impossible to comment for sure. if your implants "dropped", then you may need a revision in which the implant is supported with the use of acellular dermal substitute such as Alloderm or Strattice. If your implants are over the muscle, moving them under the muscle may help to improve the upper pole. Switching to silicone may also help. Lastly, if the implants are in good position, you may consider fat injections to the upper part of your breast to help soften the upper border of the implant. You need to see s few board certified plastic surgeons.