Am I bottoming out? 4 years post op with lingering discomfort (photos)

It doesn't appear to me you are bottoming out, rather your breasts are falling off of your implant. In other words there is a disconnection between your implants and your breasts. We want the implant to be centered under your nipple but it appears your breasts nipples are lower than the center of the implant and a lift would be needed to return your breasts to the correct position. A lift would reposition your nipple to the correct spot and a lift would also reshape your breast to give you a rounder look.

Your limited photos show no evidence of bottoming out, but without a better view of the incisions and the bottom of the breasts, this can't be completely confirmed. If you are having pain, a visit to your surgeon for evaluation would be appropriate. You should also consider a visit to your primary care physician or gynecologist. There are multiple potential causes of breast pain, many of which may not be related to the implant.

You are sagging but are not bottoming out from looking at your photos. I would suggest going back to your surgeon and being checked.