4 years post op - breasts are sagging. How can this be fixed? (Photos)

n cases of large and sagging breasts, it’s possible to achieve a lifted and well-shaped result by reducing and reshaping the existing breast tissue. If, instead of working with your natural tissue, an implant is added to create fullness in the upper pole, this only adds unnecessary weight — which may lead to further sagging over time, both of the breast and the implant itself.
In your case, if you’re not satisfied with the current volume, the implant can be removed or replaced with a smaller one. If you are happy with your existing size, a lift alone may be enough to restore a youthful and balanced breast shape.
With the Push-Up Lift technique, we’re able to explore all treatment options in a personalized and tissue-preserving way.

The weight of the breasts and poor skin elasticity has caused the breasts to sag. The correction is a lift. You can consider an exchange for smaller implants and/or adding bioabsorbable mesh to better support the tissues. I've included a video I hope you find helpful.

Dear SRM0095,

my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery