7 weeks post op 360cc round, smooth, silicone implants placed under the muscle. Am I bottoming out? (photos)

Congratulations on your surgery.  Judging by the photos I dont think you are bottoming out, it just looks like you are dropping more on the left side than the right.  It also looks like on your preoperative photos that the inframammary fold is higher on the right side.  If this was not corrected at the time of surgery then the right side would sit higher, as it is now.Be patient and see how things shape up in the next 3-4 months.  Generally it takes about 4-6 months before you can really assess your results.Hope that helps.

Dear jensinop,
it is hard to tell for sure, but based on your photos, it doesn't look like you are bottoming out. 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

Thank you for your question and photographs, and congratulations on your augmentation!  After placement of implants, the overall appearance of the breasts will change dramatically over the next several months, as the implants drop, and the overlying tissue stretches to accommodate the extra volume.  At seven weeks it does appear that your left has begun to settle faster than your right, and this is not uncommon. Typically the first dropping and fluffing takes place 6-8 weeks after surgery. I do not see any signs of bottoming out at this time and I know waiting is difficult, but judge your results at 4-6 months after surgery as most of your breast changes should have occurred by then.  Hope this helps

Thank you for your question. It is not uncommon to have swelling. Breasts may not heal at the same rate, causing one breast to appear different than the other. It can take up to 12 weeks for the implants to settle and you to see the final result. Give it a little more time to allow your body to fully heal and the implants to settle. Follow up with your board certified surgeon to address your concern. Good luck!

congratulations for your surgery. You are super good. As a doctor I recommend that you wait at least 2-6 weeks later so that you can see the final results. your breasts will be more comfortable and will look more natural.

Hello. Thank you for your inquiry and congratulations on your surgery!

It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

It is crucial to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is important for healthy results.

It generally takes around 6 months to a year to see your final results. Your tissues will take time to relax and allow your implants to "Drop and Fluff" settling into place. Should a revision cross your mind, it is best to wait at least 6 months to a year before doing so.

Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.).

Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Based on your photos, your left breast implant appears to be in good position but the right implant needs to drop a little more. I tell all of my patients that it typically takes 2-4 months for the implants to drop into their final position, sometimes a little longer. I also tell them that the two sides usually behave a little differently and don't drop on exactly the same timetable. So I think you are fine and are right on schedule.