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Is My Breast Botttoming Out Again?

asked 1 year ago by 180629 in cincinnati, oh
Latest answer by Tom J. Pousti, MD
Question viewed 1,777 times
Tags: saline implants, under muscle, bottom out, revision

I had my breast augmentation in july. I do not remember my CCs but i have saline and placed behind the muscle. Two months or so after the surgery i noticed my left breast was dropping lower than my right. I talked to my surgeon and he said my breast was bottoming out. I just had surgery about 5 weeks ago (dec 30th) and I believe my breast is once again bottoming out. Help, is it bottoming out once again?

16 answers to Is My Breast Botttoming Out Again?

Recurrence of Bottoming Out?

Thank you for the question and pictures. With your arms by your side your breast implants appear to be in good position. With your arms raised however, the breast implant malposition that you are concerned about is evident. At this point, it will behoove you to wear a supportive bra and to follow-up with your plastic surgeon. Unfortunately, only time will tell if recurrent bottoming out of the breast implant will be an issue for you. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

Bottoming Out Not Really

I feel your breasts look good with your arms at your sides and have not bottomed out. There is a difference in the height of the breast fold and nipple when your arms are raised. The right fold is lower and this may be have been present preop or the pocket could be lower. I would recommend waiting and wearing a good supportive bra and see your plastic surgeon.

Richard Linderman, MD
Indianapolis Plastic Surgeon

Bottoming out of breast implants

The short answer to your question is no. There is nothing to suggest true "bottoming" at this point. It could still happen but it hasn't happened yet. "Bottoming" is a term used for a number of implant/breast contour problems but true bottoming is when the distance from the nipple to the inframammary crease stretched, the implant shifts too low into the lower pole of the breast, and the inframammary crease level rises onto the underside of the breast. ... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Good result

I don't think you are bottoming out from the look of your pictures. This doesn't mean that you wont bottom out or sag as time goes on but as for now, I think your results are good.

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Bottoming out?

At least from the photo on the right, it does not look like your breasts are bottoming out. Just relax and enjoy the great result!

Steven Wallach, MD
Manhattan Plastic Surgeon

Is My Breast Botttoming Out Again?

Regarding: "Is My Breast Botttoming Out Again? I had my breast augmentation in july. I do not remember my CCs but i have saline and placed behind the muscle. Two months or so after the surgery i noticed my left breast was dropping lower than my right. I talked to my surgeon and he said my breast was bottoming out. I just had surgery about 5 weeks ago (dec 30th) and I believe my breast is once again bottoming out. Help, is it bottoming out once again?" I do not think you... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast Implants do not appear to be bottoming out

I agree with my colleagues. From the photos that you have provided I do not see any evidence of "bottoming out." In forward standing position with your arms at your sides, the implants appear to have a very good and normal position. There is a slight assymmetry in nipple position which many women have, but that is something you likely had before breast augmentation and is usually not appreciably changed by breast augmentation. When your arms are in the raised... more

James F. Boynton, MD
Houston Plastic Surgeon

Bottoming out breast

To me it doesn't look like it. On raising your arms the left is higher than the right. Arms at side, the lower poles look symmetrical. To me, the upper pole on the left is not as full and the breast seems smaller. I think the issue may be one of size difference rather than implant placement. sek

Scott E. Kasden, MD
Dallas Plastic Surgeon

Is My Breast Botttoming Out Again?

Thanks for the posted photos. I think you may have been asymmetric prior to the surgery. Because the N/A complexes are at differing levels. I might try a donut lift on the left. But your issue needs in person evaluation not over the internet. From MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Bottoming out again

A breast implant is bottomed out when its center of projection is below the nipple. The breast will seem low on the chest and the nipple can tend to tilt upward as the implant slips below it. Your photos show some asymmetry of the skin envelope of the breast, the fold on the right is slightly lower, and the nipple is naturally slightly higher, though the implant is not bottomed out and overall you look just fine. For peace of mind get into a good under-wire support. Best of luck... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Bottoming-out implant on one side after revision?

Your arms-down photo shows an excellent result, but your arms-up photo does show a greater crease-nipple distance on your left compared to the right. At 5 weeks post-op it is impossible to definitively state that this will improve, stay the same, or get worse, but I do recommend a supportive brassiere full-time (day and night, except for gentle showering) to help support the healing tissues where your surgeon has tightened your pocket. It is always easier to lower a pocket for... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

www.mpsmn.com

Bottoming Out

It is hard to give specific advice without seeing you before surgery and without examining you after surgery. The implants tend to settle over a the first couple of month, so what you see now may not be the final position. Good Luck.

David Shafer, MD
New York Plastic Surgeon

Bottoming out - I doubt it

Your arms down photo looks fine and in the arms raised, there is only a slight difference. Maybe wear 24/7 an underwire bra to splint things but mostly check with your surgeon to see what they think and advise.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Bottoming out-You will know

If you are starting to bottom out again you will know. It will continue. Right now you pictures look pretty good, not perfect but if they stay that way it should be fine. It would be good to see your original before implant pictures and the before revision pictures. Fixing bottoming out requires significant internal sutures and may need to be done more than once.

John P. Stratis, MD
Harrisburg Plastic Surgeon

Bottoming out

You have to be extremely careful of the use of the term "bottoming out." This implies that tissue or implant is malpositioned below its intended position. In many cases in it a matter of poor initial positioning, a mismatch between breast and implant, or an intrinsic asymmetry. In your case, I suspect it the a combination of the latter factors. It appears as if your shoulders (and thus your upper torso) is not even, with your right side lower than the left, yet your right nipple... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

PHOTOS: Early bottoming out fo breast implant

It is difficult to tell specifically from this picture. With your arms at your side your breasts look good. With the arms raised I see the right breast (left in the photos) sitting lower and this may be a sign of early bottoming out. However, I generally prefer to keep my patients in a supportinve bra for at least 6 weeks after surgery and am somewhat surprised that you have been allowed to return to normal activity.