This is where the woman’s breast tissue hangs off the bottom of the implant. It usually results from a surgeon implanting a woman who actually needed a lift as well as implants. You can get away with an implant lift if the implant is big enough to stretch out the lower pole of the breast, but if the implant isn’t big enough or if there is too much laxity in the lower pole, then you will get a waterfall or snoopy dog deformity.
The correction in most cases is to do a lift. This involves what is referred to as the “Anchor” type incisions. I would generally change over the implants when I did the lift because if you are changing the breast pocket dimensions by doing the lift, then it’s likely you will need a different-sized implant once the pocket is tightened and the nipple lifted.