Bottoming out - what happens if left untreated?

If left untreated, bottoming out can lead to a further degradation of the breast shape, with the implants continuing to drop below the natural breast fold (inframammary line). This can cause the breasts to look overly saggy or lose their youthful, lifted appearance. In some cases, it can also result in the implants becoming more visible or leading to asymmetry.
Pregnancy: Since you plan to get pregnant again, it’s generally advised to wait until after you've finished breastfeeding and have had all the children you plan to have before undergoing revision surgery. Pregnancy and breastfeeding can significantly affect breast shape due to hormonal changes, which might further alter the results of any corrective surgery. Revising the implants or performing a lift during or shortly before pregnancy may lead to unsatisfactory results due to the changes your body undergoes during pregnancy.
Supportive Bras: Wearing a supportive bra, especially during physical activity, can help minimize the visual effects of bottoming out and offer some support to the breast tissue. However, this won't reverse the condition; it’s more about managing the appearance in the short term.
In conclusion, it might be best to wait until after pregnancy and breastfeeding before considering revision surgery for bottoming out. Discussing your specific concerns with an experienced plastic surgeon will help you understand the best course of action for your situation.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Wait until you have had all the children you want before doing a lift. Bottoming out is usually from an implant that is too large and heavy for your frame and your tissue cannot support the weight. Occasionally, it can have for other reasons. continue to wear a good supporting bra during the day, especially when you are exercising.

Hello,
Thank you for the question.
Bottoming out can often happen after breast lift with implants, especially with larger size implants.
If you are planning on getting pregnant/breastfeeding in the near future, I would wait for revision breast surgery until afterwards, because the breast shape changes with hormones and breastfeeding.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon to further discuss your options, concerns and expectations.
I hope this helps.Best, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon