Are my implants bottoming out?

 I am sorry to hear about your concerns after breast augmentation surgery.  Based on your photographs, I would not say that your breast implants have "bottomed out".  On the contrary, I think that you have achieved a very nice outcome with breast augmentation surgeryHaving said that, whether or not breast implants are in appropriate position can be a matter of opinion or preference.   For example, if the distance from your areolar to inframammary fold area seems too long  or you wish to have more upper pole volume, then revisionary breast surgery, capsulorraphy (adjustment of the breast implant capsules in the inframammary fold area) techniques may be helpful.  If you feel that your nipples/areola complexes are or too high, adjustment of the breast implant capsules may be helpful when it comes to  achieving an outcome that you will be happier with. Of course, as you consider options, make sure that you consider the potential risks/complications associated with additional breast surgery.Best to communicate any specific concerns/goals directly with your plastic surgeon; in my practice this communication is best done using goal photographs and computer imaging.
 
I hope this, and the attached link (dedicated to revisionary breast augmentation surgery concerns), helps. Best wishes.