Is This Bottoming Out? Post Surgery Assymetry 9 Months out

Per Drs comments,I was symmetrical pre-surgery (as much as a human body *can* be) so the asymmetry is a post-surgical issue mostly.Measure 9.5cm from left areola to fold, 6.5cm from right areola to fold.I want a result that is visually between the left & right.Left seems very low & the scar is an inch from my fold & an inch lower than my right breast from the front view.Is this bottoming out?I have my appt 9-13 with my board cert Dr & am getting prepared beforehand.Surgery 1-27 submusc 450c gel

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asymmetry 9 months post-op bottom out

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9 Doctor Answers | Asked by San Antonio1220

Doctor Answers (9)
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Bottoming out?

I wouldn't say that your left breast has bottomed out but it is certainly lower than your right. It totally depends on which side you like better. Both are actually attractive and are desired by different women. In my opinion the left side look very natural but some women like the more fullness that you have on your right (higher) side. the implant on your right simply didn't drop as much as on the left. I would figure out which one you like better and then just try to fix the other... more

Revision breast surgery

I agree in that you have some asymmetry between the appearance of your breasts after surgery. While I don't think you exhibit the typical "bottoming out", it does appear like you have some implant malposition or overdissection of the left breast. This is difficult to fully estimate without your preoperative photographs. I agree with my colleague in that the left breast appears not only lower, but slightly more lateral than the contralateral right breast. This can be corrected... more

Breast implant bottoming out?

In my opinion, from your frontal view, this is NOT "bottoming out." The oblique view is best to determine. Your implants have descended slightly so the inframammary crease is just below the scar through which the implants were placed. This is common, and much preferred to the scar being below the inframammary crease where it may be much more visible on your chest. Bottoming out is when the transverse meridian of the implant descends below nipple level. The... more

Bottoming out correction

From your photos, it looks to me that you have "bottoming out" on the left side as well as probable lateral displacement (implant moving into the armpit when you lie down?). These implant mal-position issues cause the areola to look off centered on the breast mound and the breasrs to appear quite asymmetric. Correction would involve internal sutures (capsulorrhaphy) on the side and inferiorly. Regarding size, it is very important to communicate your goals with... more

Bottoming out: correct the forces of submuscular augmentation with subfascial placement

The problem is indeed that your left implant has dropped to low. in the picture, your left shoulder is elevated as is your arm. Both of these actions have the effect of raising your left breast and it is still several centimeters too low. This is a progressive deformity resulting from the combination of two factors : submuscular(or dual plane) placement and violation of the tight attachments at your native inframammary fold. Placing breast implants under the... more

Asymmetric breasts after breast augmentation

You say you were symmetric before surgery but not when you first noticed the current problem. If the problem was present right after surgery the left side was slightly overdissected and the the fold disrupted. If it occurred later it could be due to anything from trauma to an inherently weak fold. The only solution would be another surgery to raise the fold by suturing the capsule and/or placing a dermal matrix to reinforce the bottom of the breast pocket. My response to your... more

Breast asymmetry

It does not look specifically that it has bottomed out, because the breasts were most likely a bit different before surgery, An exam would be helpful.

Steven Wallach, MD

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Manhattan Plastic Surgeon

Breast Asymmetry following Breast Augmentatiom

There's no question about your having an unexplained asymmetry following your breast augmentation. There are several possible explanations, but your wish to end up with an appearance somewhere between the way each side now looks is perfectly reasonable. It's my impression that your right implant is sitting a little high. The likely causes are either a failure of the surgeon to sufficiently dissect the lower limit of the implant space or, more likely, an early capsule formation... more

Bottoming out?

It certainly appears that your left breast implant is at a slightly lower level than the right. It's hard to tell you what the reason is for this. There are cases where, for whatever reason, one implant is placed lower- inadvertently or on purpose. There are cases where the implants are placed at a symmetric level yet the tissues of the lower pole of the breast stretch more on one side than the other- allowing the implant to migrate slightly lower. With implants... more