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Breast Lift or Other Options for Breast Implants That Sit Too Low?
You have some great answers here. You likely need a lift. You plastic surgeon has already used high profile implants (and used 575 cc of volume). You have come close to maximizing the amount of lift you can expect from implants alone. Unfortunately this means scars. You could be a good candidate for a vertical lift which would minimize the lift scars. In our Dublin practice, this is a procedure we frequently help patients who have had implants that are low or breasts that are ptotic (saggy). When you speak to your plastic surgeon also ask if there is a role for acellular dermal matrix to help support the implants and decrease your risk of future sag.
Clinical Context
Implant bottoming-out means the implant has slipped below the natural crease, often stretching the lower breast skin and areola downward. A lift repositions the nipple and tightens skin, while dermal matrix (a supportive tissue graft) can reinforce the lower pocket to help prevent recurrence. Recovery involves swelling that takes weeks to resolve before final shape is visible. Discuss timing, scar pattern, and whether matrix support fits your anatomy with your surgeon.
