Over a year since my BA (290cc under muscle silicone) and I hate how far apart they are and feel like they have dropped too low. Is this normal or are they bottoming out and do I need a revision? Current photos and pre BA attached.
Answer: Bottoming out? Your pre op photos suggest that you have more fullness to your breasts below the nipple naturally. If you are bottoming out, it is mild. The distance between the breasts is due to your anatomy. You may be able to improve this somewhat with surgery, but it is important to discuss expectations with your surgeon.
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Answer: Bottoming out? Your pre op photos suggest that you have more fullness to your breasts below the nipple naturally. If you are bottoming out, it is mild. The distance between the breasts is due to your anatomy. You may be able to improve this somewhat with surgery, but it is important to discuss expectations with your surgeon.
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January 28, 2023
Answer: Bottoming out Dear nicolascott16, 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
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January 28, 2023
Answer: Bottoming out Dear nicolascott16, 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
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February 7, 2023
Answer: Bottoming out implants? From your photos it does not appear as if the implants have bottomed out. They have likely settled over time, however, the projecting portion of the implant appears to be centered under the nipples and you do not appear to have a "double bubble" phenomenon that you may see in implants that have bottomed out. The double bubble refers to the appearance of the implant that has fallen below the fold of the breast. As always, it is best to discuss with your surgeon who is most familiar with your surgery.
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February 7, 2023
Answer: Bottoming out implants? From your photos it does not appear as if the implants have bottomed out. They have likely settled over time, however, the projecting portion of the implant appears to be centered under the nipples and you do not appear to have a "double bubble" phenomenon that you may see in implants that have bottomed out. The double bubble refers to the appearance of the implant that has fallen below the fold of the breast. As always, it is best to discuss with your surgeon who is most familiar with your surgery.
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January 27, 2023
Answer: Implants You have some bottoming out which can be corrected with an internal bra of mesh for better support. This can also be useful in tightening your lateral pockets so that your implants do not push out to the sides as much. You appear to have little breast tissue to support the implants. Don't go larger. You still will have the gap between your breasts since this is your anatomy. If you have any donor fat, it could be added to the inner part of your breasts to help decrease the gap.
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January 27, 2023
Answer: Implants You have some bottoming out which can be corrected with an internal bra of mesh for better support. This can also be useful in tightening your lateral pockets so that your implants do not push out to the sides as much. You appear to have little breast tissue to support the implants. Don't go larger. You still will have the gap between your breasts since this is your anatomy. If you have any donor fat, it could be added to the inner part of your breasts to help decrease the gap.
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January 27, 2023
Answer: Are my implants bottoming out and would I benefit from a revision? Hello and thank you for posting with before and after photos. They are very helpful. I can see from your before photos that your breasts were already far apart so in this case the issue is mostly due to patient anatomy. This is very hard to correct with small implants that do not need a lift. Placing the implants closer to each other would reduce the space, but it would also make your nipples face outwards. Other options for filling out the space between your breasts would be larger implants or wider implants. In any case your results are very good! As for the bottoming out issue, I’m not sure they are actually bottoming out but, they do seem to be a little low. Surgical revision of the breast fold and the implant pocket with implant exchange (If you wish to change size), is the only way to correct this issue. This might mean new scars as well. In my option, regardless of these issues, you have great results and your breasts still look breast. I would only recommend revision if this bothers you a great deal. If not, you can avoid surgery and extra scars for now. Best of luck, Dr. Miguel Mota
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January 27, 2023
Answer: Are my implants bottoming out and would I benefit from a revision? Hello and thank you for posting with before and after photos. They are very helpful. I can see from your before photos that your breasts were already far apart so in this case the issue is mostly due to patient anatomy. This is very hard to correct with small implants that do not need a lift. Placing the implants closer to each other would reduce the space, but it would also make your nipples face outwards. Other options for filling out the space between your breasts would be larger implants or wider implants. In any case your results are very good! As for the bottoming out issue, I’m not sure they are actually bottoming out but, they do seem to be a little low. Surgical revision of the breast fold and the implant pocket with implant exchange (If you wish to change size), is the only way to correct this issue. This might mean new scars as well. In my option, regardless of these issues, you have great results and your breasts still look breast. I would only recommend revision if this bothers you a great deal. If not, you can avoid surgery and extra scars for now. Best of luck, Dr. Miguel Mota
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