Speak to your plastic surgeon
Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
Having said that, you should go see your plastic surgeon. Online consultants
are not the appropriate source of information for you; your plastic surgeon
should be your resource when it comes to postoperative concerns.
Dr. Michael J. Brown
Northern Virginia Plastic Surgeon
you are bottoming out, left worse than right. the surgery to lift this up is called a capsulorapphy which involves suturing to tighten the pocket of the implant but in patients that are bottoming out, the likelihood is that you are forming a thinner capsule that cannot hold the weight of the implants so it may be necessary to do one or all of the following. 1. change to a textured implant that tends to stay more still and encourage a more firm capsule 2. change to smaller implants 3. add a sling, such as alloderm of flex hd as an internal bra technique to hold up the implant. Hope that helps.
Bottomed out breast implants
Thanks for your question. Your left breast is slightly lower and may benefit from raising the position of the implant. This is quite mild. You could try a band or shoelace to keep the implant in a higher position to see if this could help raise the position of the implant.
Questions about bottoming out of an implant
You certainly look improved since after your revision surgery and I seen no evidence of bottoming out at this point.
The term "bottoming out" has been used in breast augmentation when the lower pole of the implant stretches and the nipple becomes relatively higher and higher on the breast mound. The upper pole then becomes less full. Often times this can occur when large sub glandular implants are used and the lower soft tissue then stretches out. It can also occur when the implants are reportedly sub-muscular but, in fact, only the upper pole of the implant was covered by the pectoralis major muscle (dual plane approach) and then the muscle "window shades" and pull up over the implant and actually acts to push the implant down and out. You do have a bottoming out look. In my experience, this can be improved with the use of capsulloraphy procedures and it can be difficult to maintain the improvement with time unless the implant size is also changed.
Sorry this has happened to you. Heavy smooth walled implants may place undo stretch on the bottom of the pocket where the capsule and skin stretch. Sometimes a smaller textured implant with added support of a substance that doesn't stretch such as Strattice may hold that implant against gravity better. Good luck.
Sorry for you.
Large smooth round implants are a risk for recurrent stretching of lower breast skin.
In my opinion, the best way to prevent this again is with smaller textured implants.
Have my breast bottomed out? (photos)
Very hard to tell but comparing the before to now you still appear lees bottomed.....................