Dear Belle416, Thank you for your clinical post, but without photographs and a thorough physical examination it is difficult to say exactly what the aesthetic outcome is at this point and what the specific anatomy of the concerns you have represents. However, in most cases this crunching feeling you feel at the base is actually the folded or rippled edges of your cohesive or saline gel implant. Both cohesive and saline gel implants can almost always invariably be felt and palpated in the lower pole of the breast. This is particularly true with large implants and with your implants being over 500 g or cc’s and they would certainly classify as being large. In general, the question of a lift or not to have a lift depends upon the position of the breast and how long has lapsed since your primary surgery. Breast lift surgery is generally not performed until at least 6-12 months following an augment and you would need time for the soft tissues to settle to truly ascertain the true final resting position of your implants in relation to the breast gland and the rest of your shoulder chest wall region. My advice would be to stay in close touch with your operative breast surgeon to seek their advice and over time decide if subsequent surgery in the form of a breast lift is required. I hope this information has been of some assistance and best of luck. For more information, please review the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto