Are my Breast Implants Bottoming out Again? (photo)

I had a breast augmentation/lift performed in 2010 with Mentor Mod Plus 375cc implants. Three months later they bottomed out.In 2011, I had Mentor High Profile 300cc implants placed sub-muscular with "internal sutured bra" revision performed by the same surgeon. I noticed what I believed to be mal-positioning shortly after the surgery which I brought up to my surgeon and he said everything looked fine. I'm 5'3"/115lbs/36D bra. I do exercise, no pectoral exercises and wear a sport bra. HELP!

Tags:

D cup 5 ft 0 in to 5 ft 3 in 2 years post-op 110-129 lbs bottom out internal bra recommendation

Comment on this

8 Doctor Answers | Asked by migirl

Doctor Answers (8)
Community Comments (2)

Breast Implants Bottoming Out

Hello. Unfortunately, it appears that your implants have bottomed out again. This issue can be treated by the elevation of the inframammary fold and fat grafting. For a more precise treatment plan you need to be examined by your doctor. Jaime Perez, MD Breast Augmentation Specialist Plastic Surgery Center of Tampa

Are my Breast Implants Bottoming out Again?

The series of posted photos does not appear as re bottoming but only in person examination and seeing the before of the first and second operation could help us.

Bottoming out post augment lift

To start, people who need a lift, need a lift because of diminished elasticity of their skin. The fact that you have had a lift has not changed the quality of your skin, you just have removed some of the excess. Your implant should be centered on your nipple. That said if you have bottomed out it is slight at this time and if it progresses to. Point that you are unhappy, you may need to consider strattice as n option to create internal lower pole support.

Breast implants bottoming out

Your photos do not show bottoming out, but you have probably lost upper breast fullness as your lower breast tissue relaxed during healing. This is a function of your skin laxity (loss of elasticity), size of your breasts, and the type of lift your surgeon did. Larger breasts mean heavier breasts and these cannot defy gravity.

Bottoming out after Breast Augmentation

I think you have a very good result after replacement of the implants. Although you may notice a small amount of "bottoming-out", any further surgeries can increase the risk of developing capsular contracture. Significant capsular contracture would be much more noticable than any problems with your current result.

Bottoming out versus breast tissue laxity

Hello, It is difficult to tell without examination but one of the decisions that should be made is how do the breasts look to you and what would you like them to look like. The true definition of a breast implant bottoming out involves relaxation of the infra-mammary fold (breast fold). When this does not occur the implant can still droop down on the chest if the breast tissue relaxes too much as can be seen when the distance between the areola and the fold increases.... more

Recurrent bottoming out

Your photos do not suggest that you are bottoming out again. However, it appears, as best as I can tell from your front view only photographs, that you may have some additional or lax breast tissue in the inferior pole (bottom of the breast) that could be tightened up with revision of the inframammary fold region of the breasts. However, this could recur with time due to gravity and the quality of your skin envelope.

Todd C. Case, MD

14 reviews

Tucson Plastic Surgeon

Bottoming Out of Breast Implants Again?

Thank you for the question and pictures. I'm assuming you have posted “before and after pictures"; the current pictures seem to demonstrate that your breast implants are in much improved position. This improved positioning makes the nipple/areola complexes also seem to be in a better position on the breast mounds. Although physical examination would be necessary to advise you precisely, I do not think that you are dealing with recurrent bottoming out. I hope... more

Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (2)

Susan34 10 Mar 2013

Personally I think they look great very natraul and big , with a frame that small it looks better with the little lax in skin instead of ugly tight melons on your chest .

migirl 20 Jul 2012

Thank-you to all of the physician's who took the time to review my pictures. I appreciate you all taking time out of your day to answer my inquiry. I know many women who love this site because it allows patient's to receive an un-bias opinion. Thank-you!

Ask a Question