5'10, 180lbs, cohesive implants 6 months ago - double bubble or bottoming out? (Photos)

Hello, thank you for your question. It sounds like you are experiencing some significant concerns post-op, and I understand how unsettling this can be. Let's break down your situation based on the details that you have provided in the attached video. It is completely normal to feel regretful after surgery if things haven't gone as expected. The good news is that breast revision surgery or explant can often resolve issues like bottoming out or double bubble and help restore a more natural appearance. Take your time and make sure you are in the right hands for the next steps.

Dear Witty8911,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your implants are bottoming out and that is creating the crease that you do not like and gives the double bubble appearance. You will need the implants removed, the pockets repaired and then smaller implants placed.

Best Wishes,

Gary Horndeski, M.D.

Hello,
You have both double bubble and bottoming out deformities in your breasts. The bottoming out will likely worsen over time. To correct these issues, you will need to undergo surgery again.

The implants have bottomed out giving you the look that concerns you. You will need a revision to correct this. You can consider smaller implants or perhaps mesh to lower the risk of this recurring. See a board certified plastic surgeon near you to learn more.

Your implants are bottoming out from the weight. I suggest going somewhat smaller and having the inferior pockets tightened. You might need mesh for better support. Do not go larger for this may occur again.