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Bottoming Out After Breast Augmentation

asked 1 year ago by Pleasanton7862
Latest answer by David Finkle, MD
Question viewed 2,129 times
Tags: nipples, 300-349cc, bottom out, natural

Three Weeks Post-op BA and BL, Bottoming out in Right Breast? I had 300 cc silicone moderate profile smooth round implants. I was 32A and wanted to achieve 32B, a natural look. I am starting to worry that my nipples might be too high and the right breast is starting to bottom out?

22 answers to Bottoming Out After Breast Augmentation

Bottoming out after breast augmentation

Hello and thank you for the question. In review of your photograph, your results are not consistent with bottoming out. Given that you are only a few weeks out from surgery, the implants will continue to migrate caudally, thus filling out the lower pole of the breast with time. At the 6 month mark, you will have a better idea of what the definitive shape of your breast mounds will be. My advice, for now, is to be patient. Best of luck, Glenn Vallecillos, M.D., F.A.C.S. more

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon

www.BeverlyHillsCosmeticSurgeon.com

This is not really bottoming out; this is how things look after many vertical lifts.

You have had a vertical lift, and may have had a short horizontal component (crease scar) that I cannot see from your photograph. Usually the vertical lift has a long subareolar scar length which sometimes crosses the inframammary crease, and adding a horizontal elliptical excision is designed to try to shorten that excessively long vertical scar length. This is not a "double bubble," which usually refers to implant mound below your own native inframammary crease, Your implant... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Am I bottoming out

Since you are only 3 weeks out from your surgery assessments would be premature. At this point you should continue to do as your surgeon tells you. I see nothing that needs immediate attention. After a combination of both augmentation and lifting many changes take place. The hardest thing to do is to be patient and allow the healing process to take place. Again listen to your surgeon.

Randy Proffitt, MD
Mobile Plastic Surgeon

What is bottoming out?

In the photo I see an early (really early!) result that has a lot of edema in the breast tissue itself. Bottoming out is when the implant migrates downward, below it's intended location. You can see the upper pole of the implant way up high. When it drops, things will look better. Are you wearing a breast strap or massaging? These are good questions for your doctor. Symmetry is good, incisions look fine, the operation is an early success. more

Ritu Chopra, MD
Beverly Hills Plastic Surgeon

Breast Implants and Breast Lift - Implants Have Not Descended at 3 weeks; ? Need for Revision

Hi Pleasanton7862, Well, the good news is that you're only 3 weeks out and, to be honest, you look pretty good at this stage! It is common for implants not to have descended adequately at this stage, since there is tightness at the skin level which contributes to submuscular implants taking a long time to descend. In fact, since implants do descend over time, it's almost good that they still have a way to go. You need to give it some time - at least a few months... more

Alan Engler, MD
New York Plastic Surgeon

Breast augmentation

This is not bottoming out. It looks like the implants have not settled yet and you have some breast tissue below the level of the implant that you are looking at. As the implant drops into position it may fill this area out. Bottom line is you are only 3 weeks out from surgery and you need to be patient.

David E. Kim, MD
Beverly Hills Plastic Surgeon

Breast Enlargement PoblemsArticle Base.com

Quit worrying. Your surgeon has done a nice job. When there are two of something there is always a little difference. Let things heal and be patient. At one year, if you have a little bottom fulness or assymetry it is very easy to adjust ths. Go discuss this with your surgeon. Many patients experience too much anxiety after breast surgery and most of the things they worry about never come to pass. My Best

George Commons, MD
Palo Alto Plastic Surgeon

Bottoming out after a breast augmentation

You picture that you provided reveals an early result with a lot of healing to do. You will find that the implants will get softer and more natural looking with time . Also, the lower parts of the breasts will change significantly in the next two to three months. Patience is your best friend. Don't do anything rash. I's sure your plastic surgeon has advised you of the same. Wishing you all the best, Talmage J. Raine MD FACS

Talmage J. Raine, MD
Chicago Plastic Surgeon

Bottoming Out After Breast Augmentation

I can not find any reason to disagree with you from the viewing of your posted photo. Best to allow at least 3 months of healing before requesting a revision or seeking another surgeon for a revision.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Revision breast augmentation is usually successful.

Hi. 1) Of course, do nothing for six months, but unfortunately you will probably want a revision eventually. And sometimes, things improve on their own. 2) You do not have "bottoming out". If you want to give it a popular name, it is the "double bubble" deformity. Your lower breast tissue is hanging below the breast implants, specially on the right side. That is what you are seeing. 3) This can be corrected by lowering... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Should Be OK

Please be patient and wait at least 3-6 months for the tissue swelling to resolve and the implants to settle into position. However, it does appear that you still have significant skin/breast tissue ptosis and I would not be surprised if you do require a revision to improve the results of your procedure. Make sure you stay in close contact with your plastic surgeon during the healing process.

David Finkle, MD
Omaha Plastic Surgeon

Breast Shape and NAC Position After Augmentation Mastopexy

You do not have bottoming out, nor do you have a double-bubble deformity as suggested by another surgeon. I t appears that you underwent a vertical breast lift and augmentation. Your breasts look quite symmetric in size and shape, and the implant position looks fine. It does appear that the vertical scar is a bit long and there appears to be some tissue redundancy in the lower pole of each breast along with some residual swelling. Combined breast augmentation and breast lift is a... more

Kenneth Dembny, II, MD
Milwaukee Plastic Surgeon

www.mycpss.com

Appear to have had vertical mastopexy

Based on you photos it appears that you had a vertical mastopexy with implants. Such mastopexies often appear long in the vertical inferior pole. That should not be confused with implant descent and bottoming out. Give it time to settle. When the scars are soft a minor revision of the inferior pole of the vertical scar might be warranted. Chen Lee MD, MSc, FRCSC, FACS

Chen Lee, MD
Montreal Plastic Surgeon

Breast augmentation and bottoming out

Three weeks is very early after a breast augmentation and your breast shape and implant position will probably improve over the next 6 to 12 weeks. Wearing a sports bra to help position the implants in the position you like may help. Also, massage the breast that feels tighter or sits higher on the chest, but avoid massaging the looser/lower implant.

Vincent D. Lepore, MD
San Jose Plastic Surgeon

www.vincentleporemd.com

Looking good for 3 weeks postop

Dear Lady, considering that your surgery was only 3 weeks ago your breasts are looking pretty well. There might be some excess breast tissue on the right which could require a correction, but this should only be judged after minimally 3 months. This is not uncommon after breast enlargement with combined lifting, which is quite complex surgery in any hands. Most "traditional" implants settle, which means that they descend a little in the months after placement. The only... more

Alexis Verpaele, MD
Belgium Plastic Surgeon

Breast augmentation and lift

It is way too ealry to determine what the final breast shape will be. Give it at least 4-6 months minimum.

Steven Wallach, MD
Manhattan Plastic Surgeon

Bottoming out after breast augmentation and breast lift.

I like Dr. Commons' answer, and totally agree. You will be fine. Wear supportive bra, and consult with your surgeon about your concerns. Understand that you may (or may not) need a revision at some point in time. The result of simultaneous breast augmentation and breast lift are very difficult to reliably predict, and it takes time to see your final result.

Steve Laverson, MD
San Diego Plastic Surgeon

Bottoming out.

Yournsurgery is two early to tell. the implants need to drop to better fill out the lower pole. Hopefuly this will happen. patients is very important. see video

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon

www.dr-delgado.com

Breast augmentation together with breast lift

Given what you started with this maybe as good as it gets. The photos look to be too early after surgery to make any judgements regarding end result. The implants look centered under the nipples but from just a frontal view I cannot tell if the nipples are too high. If they are it is not by much. The vertical incision line under the areolae looks a little long. We usually make that line 5 or 6 cm long. Yours looks like it is 7 or 8cm on the right. which contributes to the bottomed out look.... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Bottoming out at 3 weeks

Thank you for posting your photos. 3 weeks is too early to be concerned. You still have swelling and superior pole fullness. It also looks as if you may have had a verticle lift. This appearance is fairly typical after a verticle lift. Be patient and you may have no concerns in a few months.

Beverly Friedlander, MD
Short Hills Plastic Surgeon

Bottomed out breast implants or is it the lift

It is very hard to tell if the implant is low, or the lift is too high, and at three weeks there can be a lot of change ahead. The upper edge of the implants is still rather high and round so I suspect that the implant will be fine. You must have had a very lax and empty breast which can make the match between breast and skin envelope more challenging. Give yourself several months to let things come together. Where ever the problem lies there is a solution. Best of luck, peterejohnsonmd more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Augmentation mastopexy question

You are too early to worry and I don't see anything to be alarmed about right now. You are extremely thin and must have had very lax empty breasts - not an easy starting point at all. Please be patient and give yourself about 4-6 months of healing before you will see the final result.