Waterfall deformation? Still dropping? What’s going on? (Photo)

You have one implant that is too high and may have too much loose skin in the lower part. Would be a simple revision

You need a quite complex revisionary breast surgery. I believe the most important thing is to correctly select an implant and perform an appropriate breast lift to correct the shape of the breast while creating an optimally positioned breast mound. In my opinion, this would require downsizing to an appropriate size implant, placement of Galaflex (internal bra) with pocket tightening, and performing another breast lift (possibly just an inferior mastopexy). This is a complex problem that requires an experienced breast plastic surgeon to address.

One of your implants is held too high. Surgical intervention will allow it to drop into correct position. Any excess skin can be addressed at that time as well. As you are nine months from surgery it is unlikely to drop on its own.

You may have a capsule keeping your implants a little higher. Once released, any excess inferior breast tissue can also be revised. Please discuss your concerns with your surgeon.

To make a proper assessment regarding the outcome of a plastic surgery procedure we always need to see a complete set a before and after pictures. If you don’t have before and after pictures and ask your surgeon to forward the pictures they took. I’m guessing you had significant skin laxity, and this makes quality outcomes a significant challenge. It looks like you’re flexing your pectoralis muscles in the picture and this is going to move your implants. I don’t see what the point of doing that is. We don’t assess implant outcomes based on what you flexing your muscles.
If you want a proper assessment, I suggested scheduling in person second opinion consultations. Come prepared for a second opinion consultations by bringing with you a complete set of before and after pictures and a copy of your operative report. These are all available from your current providers office, if you request them.
There are only two variables to determine the outcome of the most cosmetic surgical procedures. The first is the patient’s candidacy for the procedure in the first place, and the second is the skill of the provider. The best results are always going to be on patients, who are excellent candidates in the hands of excellent providers. Understanding your own candidacy for surgery is an important part of understanding what a procedure can, and cannot accomplish.
Best,
Mats Hagstrom, MD