Do I have empty space in my breast pocket and possibly implant bottoming out? (Photos)

Question

6 months post op from a breast lift and implant exchange from saline to silicone. I have what seems like empty space in my breast pocket and my breast just fall off to the side more than pervious. Is this a normal thing? Also one side when I raise my arms the implant falls below the incision line. I asked the nurse if this was a concerned and was told it wasn’t.

Daniel Barrett, MD · Answer

Dear Reserved561,
bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery.
Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies.
If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision.
Daniel Barrett, MD

James M. Sheridan, MD · Answer

Dear Reserved561,thank yo for your question.  From you pictures it appears that your pocket is too large for the implant.  Your implants need to be supported at the lower aspect of the pocket as well as on the outside (laterally).  You may need an internal bra with ADM.  Talk to your surgeon directly.  hope this helps & good luck.James Sheridan, MD

Do I have empty space in my breast pocket and possibly implant bottoming out? (Photos)

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Do I have empty space in my breast pocket and possibly implant bottoming out? (Photos)

Answers (2)

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.