Are the revision results I want achievable? (Photo)

I would recommend deflating the implants prior in the office to permit soft tissue rest/recoil. At least 1 month later, we would go to the OR for removal of the saline implant shell, placement of a new silicone form stable implant with Galaflex and perform a breast lift. In my opinion, this would create the best looking natural breasts.

You are past the point of achieving that look. For that look, you will have to go larger and get a lift. However, with additional weight, your own tissue will not support that heavy weight, and you will just stretch and thin your own tissue even more and sag again. Your tissue is not supporting what you have now. I would suggest going smaller, have a lift and mesh, and have a much more stable result.

Dear Passionate356882,
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