What are my chances of bottoming out and other complications? (Photo)

Thank you for the question and pictures. Based on your anatomic starting point, you should have a very nice outcome with breast augmentation surgery. However, you are wise in inquiring about the risk of complications again.  You will find a lot of information on this website, and on the attached link, regarding the variety of potential risks/complications associated with breast augmentation surgery. The specific risk of bottoming out should be very low (less than 1-2% would be my best estimation). The most important decision you make when it comes to avoidance of complications is careful selection of plastic surgeon. When this decision is made, variables such as good judgment and skillful execution of the procedure will follow.





 Some factors that may increase risk of "bottoming out" include the need to "lower" the inframammary fold (disruption of the patient's natural supportive anatomy); this dissection (or over dissection) may predispose a patient to  breast implant displacement complications.  Utilization of a breast implant that is too large for a patient's frame may also be problematic.







 "Genetic" factors (patient tissue concerns), in my opinion, play a very small role when it comes to potential problems with breast displacement.







Your best bet: choose your plastic surgeon very carefully; everything else including good judgment/advice/planning, anesthesia provider and safe surgery facility will follow.  Always keep priorities (safety,  avoidance of complications, and quality of outcome) in mind as you make your decisions.  Best wishes.

Your risk for most complications are quite low.  With proper surgery and the appropriate selection of type, size, and profile of the breast implant will further reduce the risk.  You have what appears to be a relatively longer nipple to fold distance.  Depending on how much your fold stretches, you may be a better candidate to use a textured breast implant.Best Wishes,Nana Mizuguchi, MD