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

Dear llexplore,
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

Breast pain after breast surgery can be due to many reasons including implant rupture, implant capsule changes, stretching of the capsule/pocket, and stretch. I believe that your breasts are showing signs of recurrent ptosis (saggy breast).