Would a breast lift fix my low sitting breasts or are my implants bottomed out? (Photos)

Your breasts are much too low on the chest wall. The weight of 640 cc implants is approximately 1 1/2 lbs and your breasts have descended. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Hello @Tough133620 thank you for your question and showing your pictures. It is important to understand that the ideal is to change the prosthesis at least every 10 years to avoid capsule problems. That said, if you want to improve the shape, the ideal would be a breast pexy with minimal scarring. this would improve the overall proportion of the breast. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS

Hi, thank you for sharing your question. It seems that your implants may have bottomed out. An internal reinforcement with Galaflex mesh and a possible lift will help.

Thank you for the question. Without an in person consultation, it is difficult to say whether you are a lift candidate or not. From the photos provided, it does appear that your implants are in appropriate position. You do have a taller chest shape, thus you won't get some of the upper pole fullness that other women get with implants. I would advise a consultation with a Board Certified Plastic Surgeon to go over options. Good Luck with your consultations.

You clearly need a lift. Your breasts including the nipples are too low. If you get a lift I would recommend going with smaller implants.

Hello and thank you for posting this very good question. Regardless of the implant situation, you have wide, large low lying breasts that need to be lifted and reduced.
I believe a breast lift with implant exchange plus breast fold correction with special attention to the lateral portion of the breasts is your ideal procedure.
Best of luck,
Dr. Miguel Mota

Dear Ambition88,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You actually have both sagging and bottoming out from the weight of your very heavy implants. To correct this, you would need to go much smaller.

A breast lift will change the shape of your breasts and raise your nipple/areolas, but it will not address the low breast creases.
If you address this, you should plan on replacing the implants at the same time (they are 11 years old). Raising the height of the breasts is much more technically difficult that just lifting them.

We have to evaluate and see what min of implants you have in your breasts to know if they should be changed.
But if your implants are in perfect condition, we could do a lift and place an implant behind the muscle.