I Think I Have Bottomed out a Little, Will my Breasts Continue to Drop?

I am almost positive that my breasts have begun to bottom out. Will they continue to drop or could they possibly stay how they are now? I don't have any discomfort, but I dislike the way they look when I raise my arms. I have an appt. to see my PS, but I just wanted to prepare myself for what he might say. I like to workout and am also wondering if this will affect the bottoming out at all. (I am 2 1/2 months post-op and have not started exercising again, but would eventually like to.)

Doctor Answers (10)

Breasts "Bottoming Out"

+5

You are right. You have bottomed out and the only way to slow or stop the process is to wear a well-fitted bra whenever upright and especially when exercising to prevent the jack hammer effect of the breasts bouncing up and down unsupported.

In my opinion which I am sure would be contested by some of my colleagues, your implants are a bit on the large side for your frame. If you insisted on this size I would have preferred to use silicone filled implants which are lighter than saline. I would have used an around the areola incision, not a breast fold incision. The inframammary incisions weaken the bottom shelf of the breast and makes bottoming out easier. As you can see in your pictures, the breast fold scars are no longer in the breast folds but have moved up on the breasts.

hope this helped.

Dr. Aldea


Memphis Plastic Surgeon
5.0 out of 5 stars 61 reviews

Bottoming out can worsen with time

+2

“bottoming out”  is the term used to describe the condition which occurs when the breast tends to look as if it has descended on the chest wall after previous surgery,  whether the surgery involved implants, a lift, or a reduction.  In the case of “bottomed out” implants,  sutures can often be placed in the lower pole of the breast to re-elevate the breast on the chest wall.  This is called a capsullorraphy and can achieve excellent tresults in the correction of “bottomed-out implants.  Bottoming out may worsen with time, you should discuss the timing of correction with your surgeon.

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon
5.0 out of 5 stars 42 reviews

Are My Implants Bottoming Out?

+2

Your concerns are validated. You do have bottoming out. You can tell not only by the fact that your implants are not centered underneath your breasts, but also because your incisions are higher than your fold. When the implants are too low, it makes your nipples appear higher. I recommend wearing a very supportive sports bra when exercising. It is difficult to say whether they will continue to bottom out more, but they will not improve on their own either. You will need revision surgery to address this.

Hope that helps and good luck!

Dr. Babak Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 10 reviews

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Bottoming out after breast implants can be corrected.

+2

Hi.

1)  Your implants are definitively too low, and the left breast is significantly worse.

2)  I don't think exercise will make things worse after over two months.

3)  They may drop a little more no matter what you do, unfortunately.  Can be corrected with revision.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Bottoming out?

+1
Dear 3886,
Thank you for your post. I am very protective of my patients with augmentations who are runners. I recommend that they buy the athleta underwire sports bra with the front adjustable straps. My patients really like this bra for running and find that it holds them very stable. It is cupped instead of compressing the breasts together. Some patients use an additional regular sports bra on top of this for extra security. Some like it for everyday wear in the initial post-operative period. Using a regular sports bra that just compresses the breast together rather than cups that keep their shape can cause flattening of the breasts especially in the early post operative period and wearing a bra that doesn't have enough support, especially when running or any bouncing type activity, can cause bottoming out or stretching of the breasts. It does appear that you have bottoming out.  I would wear a good supportive bra like the athleta bra or another very supportive underwire bra at all times to prevent this from worsening.  This can be fixed but I would recommend going with a textured implant for better staying power and removal of the entire capsule so that the implant can have tissue ingrowth, otherwise, the texture is worthless.
Best wishes,
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 27 reviews

Bottoming Out?

+1

Thank you for the question and picture.

I do think that your implants are to low on the chest wall and may contain to move down with time.

One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).

Bottoming out involves inferior migration of the implants. This causes the nipple areola complex to appear too high on the breasts. Also, the distance from the areola to the inframammary fold is too great. This is corrected by “raising” the inframammary fold using internal sutures. This is done after careful measurements are made from the areola to the “new” inframammary fold.

I would suggest in person consultation with board-certified plastic surgeons well-versed with revisionary breast surgery.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 726 reviews

Bottoming out

+1

As others have stated, it does look like you have "bottomed out."  At 2.5 months, your implants may descend even more going forward.  I would wear a supportive bra 24/7.  I think the Z bra is a good one.  I included a link to the website where you can order it.  I don't think exercise should make it worse, though you may want to avoid activities that are focused on the pectoralis muscles for now (such as bench press and push ups).  A revision will correct this.  The procedure is called a capsulorrhaphy or capsulopexy.  Good luck. 

Laurence Weider, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 64 reviews

Bottoming out breast implants are not stable .

+1

In my opinion, your breasts will continue to drop until 6-9 months. In the meantime, I would wear a supprtive padded underwire bra to minimize distansion and help supoort closure of the lowe capsule.  

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

Botttoming out

+1

You may very well be bottoming out based upon this photo.  Your nipples do look a bit high.  Good luck with your visit with yoru surgeon.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Bottomed out implants

+1

You have for sure bottomed out and will need a revision if you don't like the current look.  If you are only 2.5 months out, you may bottom out even further.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.