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

Question

Im almost 6 months post op with 350cc cohesive implant. My right breast hurts still and they dont look like they are healing in way that is attractive. They dont look natural and they both have an indent. Am I bottoming out or double bubble? How can these be fixed. Im regreting going this route. Im 5'10 180 pounds

Shaher W. Khan, MD · Answer

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.

Daniel Barrett, MD · Answer

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

Camille Cash, MD · Answer

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.

Gary M. Horndeski, MD · Answer

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.

Arif Eroglu, MD · Answer

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.

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

Answers (6)

Answer: Revision needed

Answer: Revision needed

Answer: The best treatment for you

Answer: The best treatment for you

Recommended reading

Everything you need to know about Breast Implant Removal

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

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

Answers (6)

Answer: Revision needed

Answer: Revision needed

Answer: The best treatment for you

Answer: The best treatment for you

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Removal

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