Help! Are my breast implants bottoming out or is it natural settling? (Photo)

Question

I received a breast augmentation 3 years ago this past year noticed that my left side seems to either settled in a different position or bottomed out a bit. The scar on the left side is no longer in the crease. When I spoke with my doctor about this, he said it may be bottoming out but asked me to wear an underwire bra for another year and we will reassess at a later date. He said this may be due to my natural anatomy since the fold of one breast was lower to begin with.

Gerald Minniti, MD, FACS · Answer

Your doc knows what's going on and is trying to make distance and time between he and you. There is no reason not to address this within the first year from surgery. Also, any comment about the inevitability of this complication due to YOUR anatomy is gaslighting. This is dishonesty and should not be tolerated. Now that time has passed, he will have no qualms about charging you a significant fee to fix. Bad doctor.

Chet Mays, MD · Answer

Thank you for your inquiry!  We would love to sit down with you to discuss your concerns.  Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

Gianfranco Frojo, MD · Answer

As the implant exerts its effects on the breast, you will see the nipple to fold distance increases as the soft tissue relaxes. If the incision is not planned in the proper location (not necessarily always in the breast crease at the time of surgery). This can sometimes appear to have a bottomed out appearance because the nipple to fold distance may be too long for the breast width. True bottoming out denotes inframammary fold instability.

Daniel Barrett, MD · Answer

Dear Eclectic90529,
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

Ajaya Kashyap, MD · Answer

Thank you for your query. Your breast implants are  showing a little bit of bottoming out especially on the left side. They are however within normal limits and other than some supportive bras, no treatment seems to be necessary at this time. Please revisit your surgeon and let him address your concerns. All the best!

Zoran Potparic, MD · Answer

One of the reasons why initially symmetric breast becomes asymmetric, including a change in the IMF, is breast implant contracture. That needs to be evaluated and considered as a possibility? You should talk about this with your surgeon.

Connie Hiers, MD, FACS · Answer

Yes, you appear to have some mild bottoming out on one side with that implant sitting a little lower. do wear a good supporting bra. You may have to go down in size.

Camille Cash, MD · Answer

Based on your description and photos it does appear that one breast implant may be bottoming out.  The bra may help hasten the progression but it won't correct it.  Another potential issue is capsular contracture which your surgeon can diagnose or rule out.

Help! Are my breast implants bottoming out or is it natural settling? (Photo)

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