Breast Implant Bottoming Out? Please Help.

asked 1 year ago by renee2010 in Maysville, KY
Latest answer by Otto Joseph Placik, MD
Question viewed 634 times
Tags: 150-169 lbs, 5 ft 4 in to 5 ft 7 in, 400-449cc, 450-499cc, bottom out

I am 5 weeks post op and for about a week and 1/2 I have been worried that my left breast is bottoming out. I am 5'7 and 150 lbs with 430cc saline in left and 470cc on right. I have had 4 children and had plenty of breast tissue. I was assymetrical a little before surgery and the surgeon did a small lift on the upper part of my right nipple. I know I am not very far out from surgery and should be patient but they just don't look right.

6 answers to Breast Implant Bottoming Out? Please Help.

PHOTO: Uneven breast implant augmentation surgery: implant fell belwo level of crease

It does appear as if your breast implant has descended below your breast crease. Because the new crease is below the level of the right, you will need the crease to be reconstructed and elevated with a capsulorrhaphy and or possible ADM sling.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Revision surgery

It looks like form the photos that the left breast fold has stretched out and the implant is falling below it. It looks like you may need a revision in 3-6 months to repair the fold.

Steven Wallach, MD
Manhattan Plastic Surgeon

Bottoming out

Thank you for the photos. You appear to have an asymmetry, but it's impossible to tell from these photos what the cause is. It may be bottoming out. In patients with early bottoming out, the treatment is typically a revision after 6 months when the swelling has resolved. Corrective surgery after breast augmentation should not be performed in the early period after the augmentation if possible because the swelling that remains from the initial operation will lead to an unpredictable... more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

Yes the Asymmetry is Real, But Best to wait for a Revision

It would be helpful to see your pre-op pictures, but clearly you are asymmetrical right now and I expect you will need a revision. However, it is usually best to wait at least 3 months, and preferably 6 months for a revision. Your implants are relatively large for your frame and your result will change over the next few months. Over time both implants will usually come down further. Then you can evaluate whether only one side should be revised, or both. ... more

James Romanelli, MD
Long Island City Plastic Surgeon

Different Breast Shapes

Hmm..... I do not think this is bottoming out (hard to tell, pictures are small). I believe that two different breast shapes have been produced. (obviously) This situation will not work itself out. You will need a revision. Discuss with your surgeon when he/she believes the revision should occur/ Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Please see your doctor

You have uneven breast and as you noted you have bottoming out of the left side. The left breast inframamary fold is disrupted and can not hold the implant. You will need revision surgery and please make sure your surgeon is Board certified plastic surgeon and also has done this kind of revision surgery. You have a difficult problem.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

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