What can I do about having too much upper pole four years after breast implants? (photo)

Thanks for your question and for your pictures.  Indeed it appears that the upper portion of the implant is high and the distance between your nipple and the fold of your breast is short. Fortunately, lowering implants is relatively easy (raising them is harder).Based upon your photos you may have had a tight or constricted breast prior to your initial surgery. If so this kind of breast can require a more aggressive release of the lower breast at the time of surgery.Check with a board certified plastic surgeon in your area. Options are likely to include releasing the lower pole of the breast and dropping the fold and may include the possibility of a shorter hight or shaped implant.Hope this helps.  

Your problem can be fixed by appropriate manipulation of the space and expanding the lower pole. Proper implant  selection will also lead to a more pleasing breast appearance.Seek out a board certified plastic surgeon to help you. All the best.

Your implants are too high and you need the
pocket extended inferiorly. I would
recommend a circumareola approach to reshape your breast tissue, elevate them
higher on the chest wall and more medial.
If you are dissatisfied with your size and want to be larger, a slightly
larger implant can be placed. I always
recommend small round textured silicone gel implants placed retro-pectoral
since they look and feel more natural, are more stable, less likely to ripple or
have complications needing revision. This
technique avoids the ugly vertical scars of the lollipop incision, maintains
nipple sensation and the ability to breast feed.Best Wishes,Gary Horndeski, M.D.

This can be addressed with a revision BBA.  You don't need to change the implants.  See a BC PS in your area.Best,

     If the implants have always been high, then the likely solution is to lower the pocket.  If the implants have migrated upwards and the breasts feel hard, then capsular contracture treatment may need to be pursued.  An exam will help make this determination.  Kenneth Hughes, MDLos Angeles, CA

Correction Of Upper Pole Breast Fullness After AugmentationAs you would like to have larger breasts, I would consider capsule correction and changing to a shaped implant,  I use Sientra, that is form stable and will stretch the lower pole to provide better shape, size and fullness.

Dear Sbanuelos,       Thank you for submitting your pictures. The answer to your questions is in your story and pictures. It is clear that you developed severe capsule contracture. The solution to it depends on the physical examination and it ranges from simple capsulotomy to more complex capsulectomy and replacement of the implants. The later is due to biofilm that has to be completely eliminated. As far as replacing the silicone implants with saline implants, it is probably a good idea if you are going to have  larger implants . Larger silicone implant will require longer incisions than the ones that you already have. Saline implants can be inserted through a small incision under the areola which also makes the surgery on the capsule much easier. Consult with experienced board certfied plastic surgeons and check their 'redo' before and after pictures to make sure that you like the results.                Best of luck,                                     Dr Widder

If you have soft breasts then a revision and lowering of the pockets will be the right solution for you. This should be a routine procedure. please seek out a board certified plastic surgeon. Good Luck

Judging from your submitted photos and history, capsular contracture is the problem.  Open capsulectomy bilaterally with implant replacement by a good plastic surgeon in an accredited facility should offer excellent long term result.

Actually, some women prefer this look after breast implants.  The solution for you would be to surgically lower the implants, go with smaller implants, or both.  Can't tell from the photos if you have capsular contracture but that can be dealt with at the same time if needed.