Can I go bigger after bottoming out? (Photos)

"Bottoming Out" is the term given to implant #displacement, where the implant drops down below the existing inframammary fold; the natural crease beneath your breast. This may occur when the fold has been released excessively during surgery or may be due to factors of the patient’s collagen and tissue integrity. The implants then sit very low on the chest with a lack of internal support for the implant itself.
Correction usually involves #restoring the crease beneath your breast to it's normal position with internal reconstruction of the capsule around the implant (#capsulorrhaphy). Sometimes a biologic fabric (Acellular Dermal Matrix or #ADM) can be used to attach to the breast tissue internally while supporting the implant. This corrects the placement of the implant, redefines the breast shape, and also refines the internal fold.With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation. It's best to consult with a board-certified plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your breast #procedure. You will then greatly improve your chances of getting the result you desire, and, without the need for a #revision surgery. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision. Please be advised that each patient is unique and previous results are not a guarantee for individual outcome.

Dear rdrs,   Thanks for submitting your pictures and sorry for your problem. From observing your pictures, you appear to be full C cup size with significant double bubble defoermity.   Most likely, you had mild to moderate ptosis before surgery and your surgeon tried to create perkiness by lowering the sub mammary  crease , which did not stretch , creating the double bubble deformity.    Going bigger is possible, however, before doing so, you will need to correct the double bubble deformity with inferior capsulorrhaphy (internal bra) and, most likely mini lift procedure (donut, Benneli) , in order to give you beautiful perky breasts. These procedure will make the breasts appear bigger, so that you will not need to go with 600 - 650 cc , because heavy implants increase the risk of relapse of the double bubble due to the downward pressure. Going to 500-525 cc, most likely will suffice to bring to full D cup size.   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of redo breasts augmentation  in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage and sub mammary fold, perky, symmetrical and natural looking.                    Best of luck,                                          Dr Widder

it appears your have a double bubble from an overly dissected inferior pocket, which is not bottoming out per se. You can always go bigger, however, going bigger while at the same time trying to repair the fold malposition/double bubble is not such a great idea. You need to spend some time with a few plastic surgeons discussing your options, likely not the one who performed the initial surgery.