Breast Augmentation: Q&A
Ask a QuestionAm I Bottoming Out? (photo)
Hello, I had my BA 8 weeks ago. My pre op breasts were slightly uneven, the left one was a little droopier than the right one. At my 6 weeks follow up my DR said that the left one has completely dropped and the right one needs to drop some more. I recently just took photos and they look uneven and I am starting to worry that my left one might be bottoming out. I am massaging my right one as I see that it has more upper pole than the left one. Trying to stay positive.. please let me know what you think
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10 Doctor Answers |
Asked by
proud_mommy_of2
+2
Asymmetry after augment
At 6 weeks post op you are still quite early in the healing process. I agree with my colleagues that you should wait until at least six months post op before considering any revisionary surgery. It looks to me like there is more swelling on your right and this would be expected to decrease over the next few months. There is also some asymmetry preoperatively and this is sometime more obvious after surgery. So try to be patient. Time is on your side. Good luck to you.
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Am I Bottoming Out? (photo)
The issue is the before asymmetry is MAGNIFIED by the larger implants used. There could be a degree of "bottoming" on the left but the asymmetry is so much more noted. Might try revision to lift the left or lower the right + fat grafts to even out the asymmetry.
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Bottoming Out
Hello,
I am sorry you are having this problem! From my perspective it is very humbling to see that any complication can happen, even in a person who doesn't look like she would be a difficult surgery, and who also got appropriately sized implants.
I would suggest that you stop massaging your right implant for two reasons. One, it doesn't do anything. Two, why would you want your right implant to drop anyway? It's the good one! The problem is the left one is not going to...
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Breast implant results change with more time
You are still too early to make that determination. Typically, with more time, both sides will settle to become more even. You look like you had some asymmetry before the surgery. But, I would wait for a total of 3-6 months before you decide that you are uneven enough to want further surgery. Chances are, your implants will even out with more time.
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Am I Bottoming Out
It does seem like it based on your pictures. Having said that, I suggest waiting until the 6 month mark prior to performing any revision surgery such as an internal capsulorrhaphy on the left to raise the implant.
You should see your surgeon as soon as possible. To me, I prefer the position of the right implant, and wouldn't want it to drop anymore. The implant appears centred under the nipple on the right, which is where the implant should be.
In my...
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+2
Bottoming out after Breast Augmentation
Thank you for submitting your pictures. There is definite asymmetry to your breasts (some of which was present prior to surgery). It is still early to determine the final results, but I can understand your concern regarding the left breast. Keep in close communication with your surgeon. If the asymmetry persists, then a revision surgery may be needed. Physical exam by your operating surgeon will be very important during your follow up period. Good luck!
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Bottoming Out after Breast Augmentation?
Thank you for the question and demonstrative pictures.
Although it may still be early to judge the final results of surgery ( in regards to breast symmetry), I see your concern about the position of the left breast implant. The left breast implant does seem to be rather low on the chest wall, making the left nipple/areola complex seem like it's sitting relatively high on the left breast mound.
At this point, I would suggest that you continue to exercise patience and continue to...
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Am I Bottoming Out?
Maybe, but I can't tell from photos alone--an in person exam is key.
The sides are certainly not symmetric. Time will tell if the right side drops more to make these even, but I think I am seeing too much lower pole of the left breast at this time.
Continue to follow your surgeons postop instructions and attend your postop appointments.
Thanks for your question, and for the attached photos.l Best wishes.
+1
Bottoming out after breast augmentation
Based on the photos, the left breast implant sits lower than the right. Aesthetically, the right implant appears to be better positioned anyway. The left implant is showing early bottoming out. It's a bit early to go back in. Consider waiting at least until you are over 6 months from your surgery before revision.
Best Wishes,
Stewart Wang, MD FACS, Wang Plastic Surgery
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Do My Pictures Indicate That My Left Breast Is Bottoming Out?
Based on your photographs, it is my opinion that your left breast demonstrates a moderate degree of capsularptosis, i.e. you are bottoming out on the left. Your left nipple is starting to turn upward which will ultimately become star gazing. Due to the asymmetry of your breasts, wearing a bra will become difficult since the right breast was higher to start out with. Massaging your right breast in order to bring it down is an exercise in futility. Because the...
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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.
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