Bottoming out revision cost? Will my surgeon redo for free?

I am sorry to hear about your concerns after breast augmentation surgery.  Policy regarding coverage of expenses for revisionary surgery will vary from office to office and probably on a case-by-case basis as well. Costs of revisionary surgery may range from zero, to anesthesia/surgery center fees, to discounted surgeon's fees.It will also be important that you feel comfortable that your plastic surgeon has a significant/demonstrable experience helping patients with this type of revisionary breast surgery.Best wishes.

Without photos it's hard to say what the cause of your perceive bottoming out is. If it's an overly dissected lower pole of the breast or lowering of the fold that occurred, you may have a crease in the lower breast causing a double bubble or you may simply have a long lower pole, which may be correctable by fixing the fold back to its proper position. If the implants are large and have stretched the lower pole skin, I disagree with one of the authors here in that sometimes you DO need skin removal - that of course depends on whether your breasts had significant ptosis (overhang) before the original procedure or not. Some patients can get a nice looking result with implants alone even when they are candidates for a subtle lift, whereas others may end up having their implants stretch the lower breast skin and result in the whole breast looking too low, even if the nipples are pointing forward. Other patients will end up with their implants looking high but their NATURAL breast tissue bottoming out. As you can see, the solution definitely depends on:1. Where is the implant in relation to the nipple and breast tissue2. Where is the current inframammary fold and did it move from where it was originally (either by direct intent of the surgeon or by effects of the pocket/skin being stretched)3. How much skin is there between where the fold belongs and where the bottom of the implant currently sits?As for costs of revision, your surgeon most likely provided you a revision policy with financial responsibilities outlined. Most surgeons will still need you to pay a facility and anesthesia fee (these are real costs to do the surgery which the surgeon does not fully control), even if the surgeon elects (though is not obliged) to offer you a discount or waive the surgeon fee. Obviously if you go to a new surgeon - which you may want to do depending on your individual circumstance - you would be paying the new surgeon's fee.