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Have my Implants Bottomed out?

asked 1 year ago by lilly123 in IL
Latest answer by Joseph M. Perlman, MD
Question viewed 513 times
Tags: bottom out

I had my revision bl/ba in Oct 2010 (my 1st bl/ba was in 5/2010). My Left implant sits higher up & protrudes more than the right (300 cc). My right implant (210cc) feels like it is in my armpit (but very low). I don't even know why I have an implant on that side because it does not give me any upper pole fullness which is what I wanted. Also, I do not have a crease on the right side. Does it look like I have bottomed out?

13 answers to Have my Implants Bottomed out?

New reconstructive procedures offer better results

Over the last five years I have been using various materials to support the lower pole of the breast, as well as the lateral portion of the pocket, for breasts that have developed malposition. The problem of a breast "bottoming out" has been greatly improved with the use of dermal matrix grafts including Alloderm,Strattice,and Biodesign. These materials come in sheets and are sutured along the inside of the pocket, to add a reinforcing layer to help support the breast implant. I... more

Joseph M. Perlman, MD
Houston Plastic Surgeon

Bottoming out after augmentation

In my opinion, your breasts actually look acceptable in this photograph given that yours is a revision augmentation. Issues of asymmetry are challenging to solve and would be helpful to have your before pictures so that I can better compare and contrast the changes. A lot also depends on what your expectations are and what you discussed with your surgeon before the surgery.

Bhupesh Vasisht, MD
Voorhees Plastic Surgeon

Breast lift with augmentation and bottoming

Unfortunately this is what I just referred to in response to another breast question. Combining mastopexy (lift) with augmentation using implants results in an increase in complexity, a decrease in predictability and control over results, and an increase in revisions. There is also no simple way to judge how much bigger one breast is compared to the other and a difference of 90cc's between the two sides is enough to cause dimensional and contour problems as well. Analyzing and... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Not really...

Hello, Your implants and breast tissue together are too heavy for your skin to hold them up. Some descent is to be expected. This is not really bottoming out technically as the implants do not appear too low and your nipples are in good position. This is breast tissue by the look of your image. Best Regards, John Di Saia MD

John P. Di Saia, MD
Orange Plastic Surgeon

Breast augmentation and lift

It looks likeyou have perfectly natural results. The scars are still red and may take some more time to settle down.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast Augmentation

Some assymetry is expected after any breast surgery given that breasts are never absolutely symmetric. It is fairly difficult to see if you have some bottoming out from the photos.

Jeff Scott, MD
Everett Plastic Surgeon

When a breast implant has bottomed out

Actually based on the photos you have sent, your result looks even and natural. You do have a longer distance from the nipple to the fold under the breast which is an indication of why the breast lift may have been needed. An implant has bottomed out when the center or projecting point of the implant is below the nipple, not the situation I see in the photo. Give yourself time to adjust. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

You have a beautiful result.............

The question shouldn't be what our diagnosis is, it should be are you happy with your new breasts? You have a beautiful result! Your scars aren't finished healing yet, and when they are, the results will look even better. I would suggest wearing a supportive bra to prevent recurrence of the drooping you previously had.

Daniel P. Markmann, MD
Baltimore Plastic Surgeon

Bottomed out breast implants

Dear Lilly, Without seeing a side view and without knowing the nipple to inframammary crease distance, it would be hard to tell. If the left crease is higher than the right and the distance from the nipple to the fold is longer on the right you probably have bottoming out. It also sounds like you have a capsule that is too large for the implant. This may be why you feel like the implant is under your arm. See your plastic surgeon as there is a procedure to correct this... more

Steven Schuster, MD
Boca Raton Plastic Surgeon

www.schusterplasticsurgery.com

Yes, you have "bottoming out."

Your first breast lift plus implants was 10 months ago; your revision was 5 months ago, and now you have recurrent bottoming out. BTW, "bottoming out" is not due to "heaviness" of your implants, as they weigh 7 ounces and 10 ounces respectively. Your breast skin has somewhat less collagen and elastic fiber content than others, which is (partly) why you needed a lift in the first place. It is reasonable to anticipate even more "bottoming out" as more time goes by... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Are my implants bottoming out

It does not appear as if your implants are bottoming out on the photos. You do have some asymmetry. Based on the photos, the left breast is broader than the right, and the right side has greater projection. The crease on the right looks normal on the photos. These are all minor differences which are accepted by many patients as normal variations. Differences in symmetry that are seen postoperatively are usually present preoperatively. You may wish to... more

Beverly Friedlander, MD
Short Hills Plastic Surgeon

Breast Implants Bottoming Out

Based on your photos, you have a fairly nice result. Without pre-op "before" photos, it is difficult to know if this is a dramatic result or not. If you are looking for improvement, you can always have the lift portion of the procedure revised with recreation of the inframammary fold and possible placement of Alloderm or Strattice to help support reinforce the lower portion of the your breast. However, the more surgeries you have, the more possibility for... more

David Shafer, MD
New York Plastic Surgeon

Bottoming out implants

Breast augmentation with lifting is a procedure to improve, not perfect, a patient's breasts. You have had two operationswithin a year. Although I do not know what you looked like before surgery, and while I have not examined you, I would have to say your photos show relatively symmetric, nicely contoured , breasts. Look for improvement, not perfection. Robin T.W. Yuan, M.D.