500cc implants to 700cc - can this be done if I previously had bottom out and double bubble issues? (photos)

Dear Terrific677088,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your double bubble is from the original inframammary fold. Your breasts are bottoming out and are very asymmetrical as well. Adding more weight/volume will make your situation worse. You need the original inframammary fold released and a donut mastopexy to reposition the nipple-areola complexes. I would recommend fat transfer, not large implants.

Best Wishes,

Gary Horndeski, M.D.

If I was going to operate on you, I wouldn't change your implants with bigger ones. This is alone a difficult condition to correct and you need a proper healing phase to achieve an optimal result. Because the implants are big, I suppose they have dropped causing double-bubble condition, meaning that the lower space must be fixed and secured. So instead going bigger should keep the same size or even reduce them. If you want big volume, you can combine the breast augmentation with fat grafting as well.