Why aren’t my breasts perky after lift and implant? Will I need another anchor lift or a different lift? (Photo)

Naturally, your breasts sit somewhat low on your chest and the base of your breast cannot be changed and moved higher. You actually got a good result for your anatomy. Your nipples are above your fold and you do have upper breast fullness. You will not be able to have the "big round ball sitting on your chest" look. Don't go bigger since this will just stretch more tissue and sag with the extra weight.

Dear Texas_Doll,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Good morning,
You can definitely achieve your desired results, but you will need your lift revised- it needs to be tighter and higher with more skin removal. I would also replace your implants with larger implants, and if you really want more upper pole fullness switch to overfilled saline implants. Regarding the sides, I would recommend liposuction to get rid of some of the excess out there.