Will I Bottom out Again?

asked 3 years ago by Nata in Toronto
Latest answer by George J. Beraka, MD
Question viewed 717 times
Tags: bottom out

I have had a revision about 2yrs ago on my implants due to bottoming out,(also they are 300 cc's). They have moved down slightly 6 months after the revision but still look in good placement. Does this mean i have weak tissue and if I have a child will I be more susceptible to my implants bottoming out again?

7 answers to Will I Bottom out Again?

Some people are more prone to bottoming out

It sounds as though your implants are in reasonably good position 6 months after your revision. They should stay there at this point probably. I would advise you wear good underwire support though.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Bottoming out after breast implants should not come back.

Hi. After all this time, I think you can assume that your breast implants are solidly healed and are not going to shift again. I don't think pregnancy will increase your risk.

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast Implant positioning

At 6 months after revision surgery, it is normal for the implants to descend a bit. But, if you have more children the breasts may descend a bit more with the swelling that develops from pregnancy.

Steven Wallach, MD
Manhattan Plastic Surgeon

Things sound pretty good so far

Hello, Generally "bottoming out" recurs more often when women go up on the implant size and the failure tends to be early. From what you say, things sound pretty good so far.

John P. Di Saia, MD
Orange Plastic Surgeon

No major body changes, lesser chance of bottoming out

You implants have been in a good place for almost 2 years. In general, it is unlikely that you will have a major change in your implant location, as long as no major changes happened to your body. Large weight swings, pregnancy, etc. will make your skin stretch, weaken, and become more loose. This could make the implant "bottom out".

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

It is a good sign that you are OK 18 months later

Nata: Revision surgery to correct bottoming-out is not always successful. It sounds like your revision was successful. If you were going to settle more, you likely would have done it by now. Of course, as life goes on our bodies change and gravity continues. As you suggest, pregnancy also may change the breast (but not necessarily cause bottoming-out). Pregnancy changes are more commonly reduction of glandular fullness, particularly in the upper / pectoral portion of the breast, and... more

Sutton Graham II, MD
Greenville Plastic Surgeon

Bottoming out is a descriptive term

Bottoming out just means that breast tissue or implants have slipped lower than intended.It does not tell you what is the cause. Sometimes bottoming represents malplacement of an implant. Sometimes it is a normal settling of implants or tissue that causes a displeasing appearance. Sometimes it is in inevitable consequence of a mismatch between implant dimension and breast tissue dimension or position. I wouldn't worry about trying to prevent it from happening especially since you are two... more

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

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