How can you tell if your breast implants bottom out?

Dear Doctors, I've had a slight concern about my nipple and whether it sits slightly high on my breast mound. It has been 6 months post op. I'd like to have your professional opinion on whether you think my breast implants have bottomed out. 

Can you tell just by looking at the implants whether they are bottoming out, or are there other considerations?  How do you know when it is time to call your surgeon?

How can you tell if your breast implants bottom out?
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8 answers to “How can you tell if your breast...”

A: What did you start with?

Otto Joseph Placik, MD

Your result is certainly within the range of normal. My question is what did you start with? Was this the general appearance of your breast but only smaller? IF the answer if yes then, I would not be concerned at all. IF the answer is no, then the next question I would ask is if it has gotten worse over the... more

A: Yes, but mild

York Jay Yates, MD

In the photo you have submitted, the right shoulder is a little higher than the left yet the right implant is sitting a little lower.  The right implant also seems to have bottomed out a little more than the left.  It may certainly be the camera angle.  That being said, the asymmetry is fairly... more

A: Inquiring minds want to know

Kenneth R. Francis, MD

Dear Inquirer, There is a wide range of results from breast augmentation surgery.  Yours is certainly well within acceptable and trending toward good, if not very good.  The real self.com question is do you like it?  If you are displeased with the result discuss it with your plastic surgeon... more

A: Yours is borderline

Richard P. Rand, MD

Larger fuller implants are heavier and more prone to bottom out. Yours look like they might have a slight downward displacement but not drastically so. If they were put in through the crease, you would see your scar riding up higher onto the lower pole of the breast. This can be a tipoff of bottoming out. ... more

A: When to call the surgeon

Steven H. Williams, MD

The time to call the surgeon is anytime after surgery and you have concerns. As Dr. Baxter points out there is some amount of judgement based on the pictures you're presenting.  It is difficult to say specifically without seeing your pre-operative pictures as well. I would say that your inferior pole (the... more

A: It appears you have a very slight case, at least on the left.

Thomas T. Nguyen, MD

Overall, your results look good.  It does appear that you have a very slight case of 'bottoming out' at least on the left breast.  Definitely talk with your surgeon to understand your options.  It may be too early to have a corrective surgery, but you will want to get advise on precautions... more

A: Not technically bottoming out...

Robin T.W. Yuan, MD

Although your nipples appear north of the equator of the implant or mound of your breast, whether or not this is attractive is a matter of opinion and taste.Some patients prefers and some might think the implants are too low (nipple too high).  Bottoming out usually refers to a long-term effect of... more

A: Breast implants bottoming out - A matter of opinion

Richard Baxter, MD

In general, bottoming out is when you see more breast below the nipple than above, taking into account that too much fullness in the top portion is not a natural look. If you imagine the outline of the implant forming a circle, ideally the nipple would be in the middle most of the time. From your pictures,... more

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