Is my right breast bottomed out? (photo)

Bottoming out involves the implant moving below the inframammary fold over time without causing two distinct folds.  Sometimes this is the result of weak patient tissues, too large an implant, or a combination of both.  The repair involves suturing the pocket with capsulorrhaphy sutures and possibly adding an acellular dermal matrix for reinforcement (Alloderm, Strattice).  The implant size may need to be reduced as well. 

Dear lucyinthesky90,
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

Thank you for your question and for your photos. I'm sorry about your concern. Based on your photos provided, I do see the implants sitting a bit low. I would advise you to follow up with your original surgeon for an examination and to discuss what options you have for correction.