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

Question

I had 360cc round, smooth, silicone implants placed under the muscle. 7 weeks postop today. My right breast seems to still be full and hasn’t fully dropped. My left breast seems very low and like it could be possibly bottoming out?! I had some asymmetry before but I’m starting to get concerned with the unevenness. My next follow up isn’t for another month and I need to ease my mind. Does my right still need to drop or is my left bottoming out?? Thank you so much!

Farbod Esmailian, MD · Answer

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.

Daniel Barrett, MD · Answer

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

Nelson Castillo, MD · Answer

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

Emily B. McLaughlin, MD, FACS · Answer

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!

Manuel Diaz, MD · Answer

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.

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

Answers (7)

Answer: Breast Aug Results

Answer: Breast Aug Results

Answer: Congrats for your surgery

Answer: Congrats for your surgery

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

Answers (7)

Answer: Breast Aug Results

Answer: Breast Aug Results

Answer: Congrats for your surgery

Answer: Congrats for your surgery

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.