Shape of new set 560 cc. Could I be bottoming out? What does that even mean? (Photo)
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Asymmetry after BAM
Shape of new set 560 cc. Could I be bottoming out? What does that even mean?
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Bottoming out & Difference in Breasts 5 month Post-op?
You are 5 months post-surgery, and you may very well be seeing your final results. However, please note that some patients may achieve final results after a full 6 months and a smaller proportion may get final results after 12 months.
According to the photo, your breasts do not look funny looking, and they have not bottomed out (see description below) but it is hard to tell with just a one-angled perspective. It is best to follow-up with your board-certified plastic surgeon and share your concerns.
With regards to your breasts looking different, nothing can be said as we do not have before surgery photos. If your breasts looked different before surgery, then it is important to appreciate the fact that breast augmentation predictably does only one thing: it makes your breasts larger and does not cause any other major changes such as fixing asymmetry or closing in a large cleavage gap. If you breasts were fairly similar, and are not anymore, then it may be the case that your breasts are healing and adapting to the implants at different rates. As such, there may be visible differences which with time may disappear.
Finally, I provide information about bottoming out, its clinical signs, and surgical correction?
Bottoming out is also known as breast implant displacement and it happens results from the failure of the implant pocket resulting in the breast implant slipping below the natural or surgically lowered inframammary crease overtime.
A pocket can fail when there is loss of internal tissue support at the bottom half of the breast and this may lead to the breast implant to move downward on the chest, gradually lowering the natural bottom (crease fold) of the breast.
Clinical signs will include the implants ending up too low on the chest wall, the nipples will not only tilt upward as the breast implant heads down, but also be positioned higher on the breast mounds. Unfortunately, any inframammary scars from breast augmentation may travel up the lower breast mound. There will be no pain, but you may notice thinning of the skin at the bottom of the breast, which will allow you to more easily feel the breast implant.
An adequately created pocket can prevent this from happening. After surgery, wearing a supportive underwire bra that applies pressure to the fold at the bottom of the breast may help prevent bottoming out.
To correct “bottomed out” breasts, a surgeon would need to secure the implant in an elevated position and then reinforce the implant capsule at the bottom of the breast with a suture technique. There may be a need for Acellular Dermal Matrix, a soft-tissue graft, in the repair. A smaller implant is often advisable, if the original was too large.
Hope this helps!
Concerned about shape of breasts?
Breast augmentation and the issue of bottoming out
Share your concerns with your original PS, or you may consult with another doctor. Make sure that you only consult board-certified plastic surgeon who performs breast augmentation on a regular basis.
Good luck and best wishes.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.