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

This looks like incomplete release of the pectoralis muscle, so some of the muscle fibers in the lower/inner part of your breast are distorting the implant. Does this appearance worsen when you move your arms or push your hands against something? In person evaluation is most helpful to diagnose this. If this is what it is, then revision of the breast implants with more complete release of the muscle is indicated.

Dear magicskymagic,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

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 !

Please post nude pictures of your full breasts since clothing can distort your beasts. If the breasts look the same, you may have developed a capsule on both sides, or the muscle was not released if the implants are behind the muscle.

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