Hi there I am 2 months post op I have sent thru a before and after pic. As you can see the left in the photo is my concern. I included a one month photo also.. i didnt have the issue then. The crease incision is higher and breast is now lower also the nipples is pointing upward. What could be the problem? Is this normal? I havent done any strenuous exercise or heavy lifting and have followed all my post op instructions. Thanks
Breast Implants Uneven Bottoming Out? (photo)
Doctor Answers 5
Promoted Local Answer
Bottoming out is not your fault.
Thank you for your question.
You're doing nothing wrong, the implants are simply deciding where they wish to live over time. The body tends to be smarter than the physician and is responding to the stress of these new and relatively large implants. It is not your fault because it is a process that you cannot control, and unfortunately your surgeon does not always have control over it either. How the tissues relax and settle can sometimes be a product of your genetics.
Part of the reason that these implants have continued to drop is that for your chest they are quite large and have quite a diameter on your frame. You are so slender it is difficult to tell whether they are above or below the muscle.
The muscle is a another force it drives implants downwards over time. I would discuss your concerns with your plastic surgeon, wear a supportive Bra and stay the course for now. Scar tissue capsule is forming around the implants even as I write this.
Because of the size of the implants relative to your frame elevating the fold once the scar tissue has matured may may or may not hold up.
If you wind up elevating the fold you may wish to consider a smaller and less heavy implant.
I hope this helps.
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Uneven Breast Implants may be Double Bubble on Right and Bottoming Out
Thank you for your question. Two months is early and your Breast Implants will settle more over time. I cannot tell without examining you but it appears there may be a Double Bubble forming on the Right Side. Double Bubble is a second area of fullness below the inframammary fold caused by the implant resting below the Inframammary Crease or Fold.
Although it is early, and I sincerely hope that in another month or two the implants will settle and the inferior pole will fall over the Inframammary Crease, I am concerned at this point.
Your Breast Implants are quite large for your delicate frame. When trying to insert large implants into a small chest the surgeon has to dissect a very large pocket. Sometimes this large pocket is too low and bottoming out or Double Bubble can occur.
Be sure to see your doctor about your concerns.
Breast Implant Bottoming Out?
Thank you for the question and pictures.
Based on your pictures, it does appear that your breast implants have " bottomed out”. This has not occurred because of anything you have or haven't done correctly.
Bottoming out involves inferior migration of the implants. This causes the nipple areola complex to appear too high on the breasts. Also, the distance from the areola to the inframammary fold is too great. This is corrected by “raising” the inframammary fold using internal sutures. Generally, I use 2 layers of permanent sutures to perform a repair. This is done after careful measurements are made from the areola to the “new” inframammary fold.
I would suggest that you wait as close to one-year post operatively to have the revision performed; this timing allows the breast implant capsule to have matured and be strong enough to hold suture. I believe that this timing will improve the chances of successful repair and help prevent recurrence of the implant displacement.
I hope this helps.
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