Bottoming out or just old IMF crease? (Photo)

Question

Am i bottoming out? Or is this just my original crease that will even out? Im 6 months post op.

Ira H. Rex lll, MD · Answer

I cannot answer your question without a preoperative exam and knowing your surgeons plan for  inframammary fold position.  If you have any concerns, it would probably be a good idea to see your plastic surgeon.  Overall it seems you have a nice result and if this stays stable.

Camille Cash, MD · Answer

From the submitted photos it does appear you are bottoming out.  This can be corrected by tightening the lower portion of the pocket.  Reducing the implant size may help as well.  Sometimes mesh is recommended to provide more support to the tissues.  I've included a video I hope you find helpful.

Daniel Barrett, MD · Answer

Dear cammie3690,
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

Jonathan Heistein, MD · Answer

Hi.  It looks like the implant is pushing below your normal crease on that side.  You should show your surgeon so he/she can help you decide how to proceed, and also follow along with your progression.  Best of luck!

Raja Mohan, MD · Answer

It is hard to say for sure but looks like bottoming out. Recommend seeing your original surgeon for an examination.

Bottoming out or just old IMF crease? (Photo)

Answers (6)

Answer: Bottoming out

Answer: Bottoming out

Answer: Bottoming out

Answer: Bottoming out

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Bottoming out or just old IMF crease? (Photo)

Answers (6)

Answer: Bottoming out

Answer: Bottoming out

Answer: Bottoming out

Answer: Bottoming out

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.