Breast Implants: Q&A

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Are my Breast Implants Bottoming Out? (photo)

I am 5mths post op with smooth, round, 450cc saline implants placed underneath muscle. I am worried that my implants might be bottoming out because my areole placement seems high. When I raise my arms my areoles rise considerably...is it normal for the areoles to rise when lifting arms above the head? The areoles were mid breast mound right after my operation, but have risen as the implants settled. However, my crease incisions have not moved upward. I am wearing supportive underwire bras.

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450-499cc saline implants under muscle 5 months post-op bottom out smooth round

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18 Doctor Answers | Asked by HopingWell

Doctor Answers (18)
Community Comments (1)

Breasts bottoming out?

From viewing your photos, it does appear that you have bottoming out. You may need smaller implants and a pocket revision. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Are my Breast Implants Bottoming Out? (photo)

Thanks for posting the photos. Yes you have a bottoming out effect. Only revisional surgeries can improve this issue. Sorry.

Capsulorrhaphy required to fix enlarged pockets

Hello. Thank you for sharing your photos. Based on the information provided in the post and without knowing the full details of your surgery, it seems that you are exhibiting enlarged pockets where the implants bottomed out hence the signs of superiorly placed areolae/nipples. Also, the form shown in the photos tend to support the aforementioned point of view. At this point, I advise you to consider a revision surgery where the capsules will be internally sutured - capsulorrhaphy... more

Breast Implants Bottoming Out?

Yes, I think that both of your breast implants are sitting relatively low on the chest wall and in relation to the nipple/areola complexes. It is probable that you are feeling the implants significantly along the lower poles of the breasts. Patients in your situation often complain of discomfort in the area of implant malposition. Also, as you have noted, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low. I think... more

Early bottoming out after breast augmentation

Yes it appears that your left breast implant is bottoming out. The nipple appeared higher because the implant has descended lower. The lower pole (between nipple and breast fold) has increased in length significantly compared to your pre op photo, even more so on the left than the right side. There are a lot of reasons for bottoming out after surgery. You need to find out the cause of the bottoming out before going through revision surgery. This allows a proper approach to have a successful... more

Bottoming out

From your photos it does look like your implants are bottoming out. This would require revisional surgery to repair this either by suturing the capsule along the fold or reinforcing it with an acellular dermal matrix (ADM). See your surgeon about this.

Implant Malposition

It does appear that your implants have settled low. This can occur because of various factors: the infra-mammary fold is released too aggressively at the time of surgery, the implants are too large for your frame and breast dimensions, aggressive implant displacement massage, gravity, and time. When implants are positioned low under your breast mound and not centered on the nipples, they can give the appearance that the nipples/areolae are high. This can also give the appearance... more

Bottoming Out?

Your breasts have an overall pleasing shape, but they are bottoming out. In addition, the breasts are very close together. Pocket revision can be considered if you are unhappy.

Have your bottomed out?

By the photos you provided, the answer is yes. Hopefully your surgeon has a revision policy that can help you with the additional costs that will be involved in improving your results. Other doctors have mentioned viable options and you should discuss them thoroughly with your doctor.

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Bottoming out (inferior implant malposition).

Thank you for your post. I would agree that you are likely bottoming out with your implants. In addition, these implants look a bit too wide for you chest wall. Correction will likely need smaller implants and pocket revisions.

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Are my Breast Implants Bottoming Out?

It appears that you are bottoming out. This happens when the weight of the implants stretches the skin of the lower breast. This often makes the nipples appear too high. Also, breasts may appear too low on the chest with loss of upper breast fullness. The risk is higher the bigger the implants. Unfortunately, revision surgery is the only way to improve this. Smaller implants may be a good idea to reduce pressure on your tissues. Additionally, biologic meshes, like Strattice, can be used... more

Bottoming out

You do appear to be bottoming out. I think you need smaller implants with a revision of the pocket.

Bottoming out post aug

I think there is no question you are bottoming out.I would wear a support bra but I don't think this is soemthing that will go away without another surgery.I would wear a bra to help keep it from getting worse.

Bottoming out

It looks like your implants have bottomed out a little. If you like the appearance, then it is not a problem, and they will probably not fall more. If you want the nipple more centered over the implant, then it will require surgical intervention.

Revision breast augmentation should give you more natural shape.

Hi. Definitely the breast implants are too low. You want a perkier shape. Bottoming out.

Have my implants bottomed out?

It does appear that your implants have bottomed out. This is due to tissue stretching after surgery, which neither you nor your surgeon have control over. What you do have control over is the implant size. When the implant size exceeds the ideal volume as measured for your tissues, as is often the case, over stretching of the lower pole, or portion of the breast will occur.Even when the implants are the ideal size for your tissues, this phenomenon can still occur, although to a far lest... more

Are my implants bottoming out?

Hard to tell without pre-op pictures and a more extensive exam, but it appears they may be, f/u with your PS to discuss your options. Good luck!

Revision Needed!!!

It looks like you have a couple of issues. First, the implants you chose are too big for your chest. Second, the submuscular pockets were dissected too low causing the implants to "bottom out". Third, whereas you once had beautiful breasts and cleavage, your breasts now appear pressed too close together in the midline. Unfortunately, as more time passes its likely that your situation will worsen despite wearing support bras because the weight of the implants will... more

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Comments (1)

Catrine71 28 Dec 2012

Wow ! You had my DREAM breasts in your 'before' shot. I think you had perfect breasts before ... take the big implants out and go back to how you were before. I am having a reduction consultation at the end of Jan and I'm going to ask for ones like your originals LOL !!!! If you need to go through more surgery my personal opinion would be to revert back to the originals before you start suffering side effects such as upper neck and back pain, headaches, and shoulder dents. Good luck either way :)

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