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Natural Anatomy - Bottomed Out Breasts?

asked 1 year ago by LuliFamo
Latest answer by Adam Hamawy, MD
Question viewed 5,484 times
Tags: 090-109 lbs, 5 ft 0 in to 5 ft 3 in, bottom out, C cup, natural

I saw board certified PS in my area regarding BA. He said my natural anatomy is that I have "bottomed out" breasts and implants would only accentuate this. There is no way for me to achieve the upper fullness and roundness that I desire. He said I have more than avg tissue in the lower 1/2 of my breast creating a greater than avg distance from the nipple to the fold no implant will give enough up top and instead will increase the bottomed out look. Is this true? 5'2 107lbs 32C 27"ribcage 12BDW

15 answers to Natural Anatomy - Bottomed Out Breasts?

Bottomed out

Thank you for the photos. They are helpful. You do have greater fullness below the nipple than average. You also have asymmetry. It is possible to augment your breasts and provide increased fullness above. It will require some planning to determine the best sized implant to do this. I would suggest that you consider addressing the asymmetry as well-the Right Breast and nipple are lower than the Left and it is unclear from the photo but the... more

Beverly Friedlander, MD
Short Hills Plastic Surgeon

Breast implants to create upper pole fullness

Breast implants are ideal in creating upper pole fullness in most patients. Based on your photos, you are also a good candidate. However, careful size selection and implant placement is necessary in order to achieve optimum results and minimizing complications such as bottoming out of the implant. I recommend seeking the opinion of another board certified plastic surgeon experienced in breast augmentation.

Adam Hamawy, MD
Westchester Plastic Surgeon

Trust the Professionals

I tend to agree with your surgeons opinion. Fairly large implants placed slightly above the natural fold may give you the fullness you desire but if the implants are to large your bottoming out can get worse.

Ivan Thomas, MD
Los Angeles Plastic Surgeon

Bottoming out after Breast Augmentation

It looks like you are in excellent shape. I cannot tell how low the nipples are. You could be a candidate for transaxillary breast augmentation and inframammary skin/tissue resection. Get a second opinion but from the pictures I think a small breast implant would do well. Bottoming out is exacerbated with large, heavier implants. Leo Lapuerta Jr. MD Triple Board Certified Plastic Surgeon

Leo Lapuerta, MD
Houston Plastic Surgeon

Bottomed out breasts

LuliFamo , There is no question that you will get closer to your desired breast image by using an implant. Depending on the size volume you want when you are done, the exact procedure can be modified to get the result you want. You need to get a second opinion from a board certified plastic surgeon. Enjoy. Jon Sattler, MD, Board Certified Plastic Surgeon, Glendora , CA.

Jon Sattler, MD
Glendora Plastic Surgeon

Breast Augmentation in Patients with Low Lying Nipples

The important question to resolve is whether your nipples are higher than your inframmary fold (truly high nipples), or whether you have gladular pseduptosis (the nipple height is at the level of the fold but the breast tissue lies low and sags. If your nipple truly lies high you would be a candidate for carefully placed implants. If you have glandular pseudoptosis, you may require a breast lift that reduces lower breast skin and tightens the lower breast, but doesn't raise the nipple.... more

Karen Vaniver, MD
Seattle Plastic Surgeon

Approach

Based on your photo's, I think upper pole fullness would be achievable with an augmentation. There would be many variables to consider based on your anatomy, however, you look like a very reasonable candidate for performing the surgery endoscopically through a hidden armpit incision that would leave no scar on your breast.

Marc Schneider, MD
Fort Myers Plastic Surgeon

Breast Implant Candidate

Based on your pictures you look like you may be a candidate for a breast implants. However, there is no way to know for sure without examining you in person. The goal would be to give you more upper pole fullness without accentuating imbalance between your upper and lower pole volume distribution. Good Luck.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Breast contouring, #BreastAugmentation, #Breastlift, #mastopexy, #highprofilebreastimplants, www.dtrevorborn.com

Dear LuliFamo Thank you for your question and photos. There is no 1 correct answer as you can see from the responses. The Aesthetics of breast shaping are really dependent on what you want and what the surgeon has the ability to create. Please seek a couple of opinions from surgeons that you have found by word of mouth. With Warm Regards, Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon

Bottomed out breast

I would not call your breasts bottomed out at all. What you have are NORMAL breasts. However, the question is not what the breasts are called, or where the breast tissue is relative to your nipple, but, what is it that will make you happy. 99% of the women in the world, maybe 99.9%, would be thrilled with your breasts. The serious question is why aren't you and what specifically would make you more content? However, without a formal, in-depth consultation and exam in person, NO ONE... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

How To Acheive Upper Pole Fullness In Face Of Lower Pole Excess

Thanks for the photos they are very helpful in understanding your situation. Fat grafting to the upper pole my be helpful. But it does not appear you have much excess fat anywhere. The next option would be to remove skin and some breast tissue vertically from the bottom of the areola to the inframammary breast fold and insert a moderate profile breast implant preferably under the muscle. The implant can be placed through the vertical incision. This is an unconventional approach to an... more

Todd B. Koch, MD
Buffalo Plastic Surgeon

www.toddbkochmd.com

There is an answer to your problem and it includes breast implants

Obviously from your photos there is a good amount of breast tissue bellow you nipple areolar complex and not much in the upper pole. While it would be necessary to see you in person and measure your dimensions and examine your breast, it seems that the placement of textured silicon gel breast implants could be the answer to your problem. These implant can be place in the location that you want them to stay and they almost always do stay in that location. It may also help to remove some... more

Carl W. "Rick" Lentz III, MD
Daytona Beach Plastic Surgeon

Breast Augmentation is still an option

Dear Luli, It appears from the photos that you are heavier in the lower part of the breast but a high profile round cohesive gel implant is a good option for you to give you fullness in the upper part of the breast. I would recommend you get a second opinion and get examined for an appropriately sized implant. Good luck!

Dana Khuthaila, MD
New York Plastic Surgeon

www.drkhuthaila.com

Breast augmentation together with breast lift

The desired proportions are 20cm from the notch above the breast bone to each nipple, 7cm from the nipple to the crease under the breast and 10cm from the midline to each nipple. Without a ruler in the photo or a face to face examination these measurements cannot be discerned from just your posted photos. However it is clear that the nipple to crease distance is more than 7cm which can create a bottomed out look. It is not clear how much over 7cm it is though because raising your arms in the... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Bottomed out breasts

From your pictures, it looks a like you have some glandular ptosis. What this means is that, as you described, the lower portion or your breast is sagging but the nipple postion is up higher where it belongs. I do think you have options still for breast augmentation and I would encourage you seek a second opinion.