How does sagging progress as you age with implants?
Gravity works on tissue, not silicone — over the years the two can drift at different speeds.
Skin and ligaments lose elasticity with age regardless of surgery, so breasts with implants still descend over time. The nuance is that natural tissue and the device do not always descend together.
Two kinds of descent
When both move together the change mimics ordinary aging. When tissue slides off a device that stays high — sometimes called a waterfall pattern — the contour looks doubled, which is a shape observation worth documenting at checkups.
Speed of descent differs by skin quality, implant size, pregnancies, and weight history — no two timelines match — so periodic photos and specialist reviews are the reliable way to track how your own curve is moving.
MediIndex articles are for general information only and are not medical advice, diagnosis, or advertising. Outcomes vary by individual — consult a board-certified specialist for personal decisions.