Few years post op - what could have caused my implants to look deflated at the bottom? (photos)

The reason for the changes you are describing in your breast implants could be due to a few different factors. One possibility is that the implant has shifted or become displaced, causing it to look deflated or distorted. Another possibility is that the breast tissue surrounding the implant has changed over time, leading to an uneven appearance.

It's also possible that the changes are due to normal aging processes, such as changes in skin elasticity and muscle tone, which can affect the appearance of breast implants over time. Not all implants will necessarily look like this after a few years, as the rate of changes can vary depending on factors such as implant size, placement, and individual anatomy.

To determine the cause of the changes in your breast implants, it's best to schedule a consultation with a board-certified plastic surgeon who specializes in breast augmentation. They can evaluate your implants, breast tissue, and overall anatomy to determine the best course of action. In some cases, a revision surgery may be needed to correct the appearance of the implants, while in other cases, non-surgical treatments such as injectable fillers or fat grafting may be recommended.

I hope this helps,
best of luck !

It is difficult to say what has caused the change in your breasts. Sometimes the implants them selves may settle (even after years). Sometimes the natural aging process allows for changes in appearance and other times the capsule (scar tissue surrounding all implants) may spontaneously change.
Earlier photos of your cleavage prior to this occurrence would also be helpful.
Either way, it appears that a revision procedure with opening the medial pocket will be in order.
Best wishes,
Dr. Taranow