Are my Breast Implants Bottoming Out?

I had breast implants put in 2 years ago- silicone gel & over muscle. I also had a donut pexy lift. At first my implants were high. it feels like my implants are heavy and pulling on my skin all the time, especially when I am not wearing a bra. I can feel the implant at the bottom of my breasts.

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sagging over muscle

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10 Doctor Answers | Asked by 4914anon in dallas

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PHOTOS: Are my Breast Implants Bottoming Out? No, its jsut ptosis.

Are my Breast Implants Bottoming Out? Your photos show that you are experiencing sagging (ptosis). This would best be treated with another lift and downsizing, in my opinon

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Bottoming out breasts

It depends on what is meant by the term "bottoming". Usually this term is reserved for a stretching or lowering of the inframammary crease but it can also refer to stretching of the entire lower pole of the breast and the implant along with it which is what is happening here. Although I would not intervene yet because the situation may stabilize and the implant/breast does not appear too low relative to the crease, several points need to me made. I don't... more

Breast implants

It looks like you may need a lift to raise the implants up and tighten the skin envelope. Feeling the implants in the lower pole is common.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

breast implants bottoming out

I would not say "bottoming out" but you are having drifting inferiorly of the implant. I would recommend a full lift to achieve the higher appearance you desire. From MIAMI Dr. B

This is a normal after above th muscle implants

You had moderate sagging before surgery and your doctor tried to give you the lift with minimal incision. The Donut lift gives less scar but does not lift the breast well. Placement of the implants above the muscle did not help since the creation of the pocket separated breast tissue from the chest wall and caused more sagging. From the picture, I would recommend full breast lift with possible repositioning the implants under the muscle.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Laxity in breasts after augmentation

We do not have the benefit of having examined you prior to your surgery but it appears you would have benefited from a more aggressive breast lift and implants placed partially under the chest muscle. This does not guarantee that the lower breast tissue will not stretch but proper implant selection and more formal breast lift would provide you with a hopefully longer lasting result. Dr Edwards

Rock-in-Sock deformity results from large implants above the muscle

You've got the classic stigmata of a subglandular breast augmentation losing the battle against gravity and poor skin quality. The weight of your implant is overpowering the meager support of your breast tissues. Also, your areolar closure form your breast lift appears dilated with a thickened scar. Based on this photo- I'd recommend implant removal, replacement under the muscle, and a full breast lift.

Breasts Sagging, Not Bottoming Out

From your picture, it does not appear that you are bottoming-out at all. Instead, you are developing more ptosis, or sagging, of the breasts. Over time, if the implant is above the muscle and someone has only undergone a benelli ( doughnut) mastopexy, the implants can puill too much on the tissues and stretch everything out again. It appears that you need a lift revision - probably one that also includes a vertical and possible horizontal extension of the scar to get a... more

Needs a breast lift

The problem with placeing moderately large implants over the muscle is that they will NOT lift you and will quickly drift down into a ball-in-sock look like you have if your skin elasticity is poor. In my opinion, you would have been better off under the muscle and you need a full lift to correct the excess skin in the lower pole.

Breasts+Large implants OVER the muscles = Quick Sagging of breasts

You are right. You DO have sagging breasts. The reason? - NO ONE wins the battle with gravity and aging. Putting large implants over the muscle and hoping the breasts would stay in place by then doing an ineffectual "donut pexy" (whose only contribution were the gathering around the areola and ripples) is a prescription for faster breast sagging and thinning of the lower breast tissue. You ARE right. Your "implants are heavy and pulling on my skin all the time".... more