Bottoming out of both sides of implants - do I need a 3rd revision? (photos)

Dear alisall,
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
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello alisall.
Bottomed-out implants may happen with larger implants, disrupted inframammary fold, and thinner skin flaps. It seems that your surgeon tried to stabilize pockets with acceptable procedures twice. At this point, I think getting a second opinion is the next reasonable step.Additional pictures with both breasts in the view and views of the second breast are helpful to appreciate the problem. In-person consultation, especially with multiple prior surgeries is more informative and productive for both a patient and a surgeon.
Best.
A. Shteynberg, M.D., F.A.C.S.Diplomate, American Board of Plastic SurgeryNew York, NY.