Waterfall breasts after over-to-under muscle implant revision for sagging, don't know what to do? (Photos)

You may need an internal mesh bra to help support your sagging tissue. I would keep the implants behind the muscle for better coverage and upper breast fullness and support to the implants. Some lower sagging tissue could be trimmed as well.

Thank you for your question. A large portion of my practice is dedicated to breast revision. I often perform excision of inferior pole breast tissue during mastopexy-breast lift. Over the years, I have developed a technique known as " reductive augmentation ". You might be an excellent candidate for this. In your case, I would not lower your implants, but redo the left with excision of the inferior pole, redundant breast tissue. Best wishes to you

The problem you are having is your implants are at one level and your breast tissue is at another. The vertical scar lift technique was inadequate to lift your breasts. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.