7 years post op. Is my left implant bottoming out? Weird feeling when I lay down. (photos)

Question

I’m 26 years old and have had my implants for 7 years. Recently I have felt some weird feeling in my left breast as I lay down. I am worried it is bottoming out.

Albert Ko, MD · Answer

Hi there! Thanks for your question! Over time your skin can stretch and your implants and breast tissue can settle into a lower position. You can have revisional surgery to adjust your breast pocket and possibly replace the implant. I recommend a consult with a board certified plastic surgeon.Thanks!

Johanna D'Agostino, MD · Answer

Hi Sydney09Thanks for sharing the photos. Based on these images, I think that the lower breast poles look pretty symmetrical. I do not think that the left implant appears significantly lower than the right so unlikely bottoming out. Anyways, an in-person evaluation by your board-certified plastic surgeon can help you clarify any concerns and closely examine the breasts for any issue that cannot be fully noted on the photos.

Stefan Mark Szczerba, MD · Answer

Yes but just little.   When your scar is under the breast, you can tell bottoming out when the implant drifts lower and to the side.  To fix it, I recommend implant exchange, pocket plication and mesh placement to prevent recurrence.  Best Wishes!!

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Difficult to say if indeed breast implants are falling too much. I would speak to your plastic surgeon about your options and see if its worth it to you to undergo surgery and recovery again. You look great but of course you know your body. For more information about breast aug and breast aug revisions check out our website.

Zoran Potparic, MD · Answer

It is impossible to give you meaningful opinion without in person evaluation. There is breast asymmetry and areola asymmetry which may be result of breast implant contracture? It would be best to contact your original surgeon for evaluation. Good luck.

Ronald J. Edelson, MD · Answer

They look great. Many women experience occasional odd feelings after implants. I don it belyeve anything needs to be done.

George Bitar, MD · Answer

Bottoming out is where the implant drops with time.  The implant would be lower, and the distance from the nipple to the bottom fold of the breast will increase.  Based on your limited photographs, the left breast does not appear to be significantly lower than the right.  I would recommend visiting your surgeon and discussing your concerns.

Daniel Barrett, MD · Answer

Dear sydney09,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

There are some tell tale signs when an implant is bottoming out.  The distance between the breast fold and the nipple become longer.  The nipple appears to move upward.  The incision if in the inframammary fold will move from the crease.  An evaluation by your surgeon is encouraged to discuss your concerns.

Connie Hiers, MD, FACS · Answer

Your photos are somewhat limited, so I would suggest meeting with your plastic surgeon and being checked. You might have developed a capsule.

7 years post op. Is my left implant bottoming out? Weird feeling when I lay down. (photos)

Answers (12)

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