Settling has improve symmetry
and you are not bottoming out. If you are concerned about that, make a note of where the incision is in relation to your fold and if it starts moving upwards, you could be bottoming out. Your nipples pre-op almost appear to be pointing inwards, suggesting you may have had a pectus excavatum and if so, your results are very good.
Your first photo seems to be the most accurate pose, however, if your body is not straight which is the case in some of your photos it is hard to make an accurate diagnosis. It does appear that your left breast is lower, but were your breast folds at different heights prior to surgery. It also appears you have synmastia. I would discuss with your PS.
Hello,You clearly had nipple position asymmetry that is aggravating your current appearance. In addition your implants are too large, which is contributing to your symmastia. In addition, both implants are dropping out, one side more than the other. If your surgeon is not a ABPS certified/ASAPS member surgeon expert in revision surgery, you may want to go on a few second opinion consults.
Thank you for the photos and the question and though you were clearly asymmetric prior to surgery, you appear to be bottoming out on one side and have symmastia on that same side but an examination is needed to confirm.
Assymetrical or bottoming out
Thanks for your question and photos. Asymmetry between one's breasts is the norm. It is always good to wait a good 4-6 months prior to considering a "final" result. It is also important to acknowledge that you had some asymmetry to begin with. Best to follow up with your PS to discuss expectations. Good luck.
It seems that there was some asymmetry on your preop photographs. When the breasts are larger and when they are examined more critically, the asymmetry is more obvious now. You can follow up with your surgeon, but sometimes the risk of revision surgery outweighs the benefits you may get.
Hello. Thank you for your question and photos. Your breast implants after 6 have settled down. However the implants pockets may not be as symmetrical as they should be and the inferior disection is too low. That's what makes the bottoming out happen. Go with your PS for a possible revision.
there is no substitute for seeing you in person and you do not provide
details about your surgery.
They look quite good to me.
It is rare to see a woman whose breasts are exactly the same.
Also it is very easy to find a surgeon, who will criticize another
surgeons work, which is unfortunate.
you have had a wonderful improvement to your figure
compared to your pre-op photos. i think you should be very happy
with your results and try not to be overly critical.
none of us are perfect in our bodies- what we should be striving
for is an improvement and you have had a huge improvement
in your figure and what you can wear.
enjoy your excellent results.
david berman md
"Bottoming out of breast implants" may be in the eye of the beholder…
Thank you for the question and pictures. Interesting question to answer: on the one hand, the breast implants seem to have settled symmetrically. On the other hand, your breast implants do seem somewhat low on your chest wall, thereby making the nipple/areola complexes seem somewhat high on each breast mound.
The main question is: does the breast implant positioning concern YOU. If so, then technically you have mild breast implant bottoming out and revisionary breast surgery (capsulorraphy) will be necessary to improve the breast implant position. On the other hand, if you are pleased with the outcome of surgery, then I would say your progress is "normal" and you should enjoy the outcome of the procedure performed. In other words, what really matters here is your assessment (not that of other people, including online plastic surgeon consultants).
I hope this helps.