I have 600cc in the left and 650cc on the right. Are My Implants Bottoming Out?

i had constricted breasts/tuberous. my ps said he lowered the pocket on the one that needed it. i had my surgery on the 18th. when i look at the one where he lowered the pocket it looks like the implant dropped already, but pasted the pocket and went flat. i can still see where my old crease was and the implant did not fill out and round out the bottom of my breast. 600cc in left and 650cc's on right, high profile. does it sound like the one that had the pocket lowered bottomed out? :(

Doctor Answers 12

Are you bottoming out?

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It is impossible to help you without an in person consultation or at least without any pictures. You should probably visit your plastic surgeon and share your concerns. 

Large Implants due to their weight, gravity, thinning of tissues, chronically not wearing a bra, loss of elasticity and other factors may cause continued stretching so that your breast implant is no longer supported in its ideal position. This results in the progressive lowering of the inferior breast crease (inframammary fold). When the implant moves South to an undesired inferior position it results in the loss of volume and flattening of the upper pole of the breast, too much volume at the lower pole, increasing the distance from the fold to the nipple and finally the nipple position being abnormally high ( pointing up) and not centered. Similarly, the pocket can also stretch to the side (lateral) so that when lying down your implants fall towards your arm pits or sides, causing the “Side Boobs” appearance.
Bottoming out and Side Boobs Contributing Factors:
  1. Larger/Heavier Implants
  2. Implants placed above the pectoralis muscle
  3. Chronically not wearing a bra when upright
  4. Over dissection of the Implant Pocket
  5. Smooth Implants
  6. Large swings of weight including pregnancy
  7. Skin and soft tissue laxity, loss of elasticity

Breast Implant Bottoming Out

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Your question is difficult to answer without photos.  However, at this early stage, due to swelling, it is very difficult to pass judgment as the breast shape may be distorted.  Bottoming this early is uncommon, so I recommend patience. If you are still concerned, see your surgeon. 

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Breast augmentation and tubular breast

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When you're doing an augmentation on the patient with tubular breast it is necessary to lower the infra mammary fold. A high fold in breast herniation nipple is the definition of tubular breast.

In my patients after augmentation for tubular deformity it will take 3 months or more for the infra mammary fold to  stretch out and resolve. Most times it will resolve but sometimes it does not go away completely.

You're still very early and you have a lot of healing left to do. If you can go talk to Dr. and voice your concerns. Your doctor can tell you if there's anything to do at this time like bands, tapes are using a bra or if just time will solve the problems. 

Wendell Perry, MD
Miami Plastic Surgeon
4.8 out of 5 stars 234 reviews

Breast implants will take a few months to settle

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I can not comment on your case without seeing photos. It will take a few months for the implants to settle and for the skin to relax, especially since those are fairly large implants that you have. This could also be a "double bubble" deformity based on your description. Follow up closely with your plastic surgeon and allow time for the implants to settle, this could take up to six months.

Best wishes,


William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 412 reviews

Bottoming out in tuberous breasts

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One of the hallmarks of a tuberous breast is a high fold and short lower pole.  There is no getting around the need to lower the fold and often a shadow will exist where the original fold was.  It is way too soon to tell what the final outcome is.  No matter what you look like now I would not consider a revision for 4-6 months,  It's not unusual to have to revise a truly tuberous breast augmentation.  They are not nearly as easy as normal breast augmentations.  Wait three months and post photos to us again.  Don't despair.  You are on the way to having more normal breasts.  It will be worth the wait even if you do need a little touch-up.

Lori H. Saltz, MD
San Diego Plastic Surgeon
4.3 out of 5 stars 29 reviews

Questions regarding bottloming out of breasts

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Without any photos that include a few views, there is no way that an accurate assessment or even a relatively helpful one can be made regarding your situation. Your situation would best be answered by referring back to your operating surgeon.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
4.7 out of 5 stars 33 reviews

Bottoming out after tuberous breast correction

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I'm afraid not much can be said with no pictures!  Without them, please seek the advice of your surgeon, since he is the only one that can truly answer this question. FYI, if it is 'bottoming out', then a garment could be worn for a specified amount of time to prevent this. At 2wks post-op, you may be too late to achieve correction with external devices. If this is so, surgical correction will be needed. Best wishes, Dr. H

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

Bottoming out

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Hello ~

Please provide photographs of your concerns.  I would also advise you follow-up with your plastic surgeon if you have concerns.  Bottoming-out can happen as a consequence of adjusting the inframammary fold. This can be repaired, if it becomes necessary.

Best of luck ~

Glenn Vallecillos, M.D., F.A.C.S. 

Glenn Vallecillos, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 30 reviews

Implants bottoming out after surgery for constricted breasts

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Photos would be very helpful to analyze.  Keep in mind that breasts change a lot after surgery (at least for the first 3-6 months), so don't get too discouraged by what you are seeing right after surgery.   See your plastic surgeon for instructions regarding any imlant exercises or garments to wear, if indicated.  Only he or she knows exactly what was done during surgery. 

Bottoming Out After Tuberous Breast Correction

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There is no way to answer this without photos, but lowering of the fold, common to tuberous breast correction, can lead to bottoming out. Also, with large implants the risk of this increases. Either resubmit photos or discuss this with your plastic surgeon.  Even if this is the case, there are surgical procedures designed to correct this.

Best of luck

Vincent Marin, MD

San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 52 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.