I’m 4 months post breast aug, are my breasts too low? Am I bottoming out? Side malformality?

Dear dayleeg,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

You don't appear to have a bottoming out issue.  However, given the size of your implants and their position on the chest wall, your breasts will likely have a tendency to sag over time.  Wearing a very supportive bra, and even wearing a bra at night, may help slow this process.

dayleeg.   I appreciate your concern, but your photographs do not demonstrate signs of bottoming out, which occurs when the implants drop too low. It can take as long as six months to achieve your final results after this operation, so try to stay patient and follow up with your plastic surgeon. Good luck.