What is this Deformity when i lie down? Can this be fixed? (Photos)

Question

I had a Breast lift with implants 10 months ago, when i lied down my left breast gets deformed a bit. Are they Bottoming out?

Miguel Mota, MD · Answer

Hello and thank you for posting. This is not bottoming out and it is not a deformity. It is just your implant. The breast falls back when you are laying down but the implants stay in place because they are being kept in place by the muscle. Making your breast tissue tighter will help avoid the tissue displacement, but this would entail a breast lift. Another option is loosening the pocket. This will make it so the implants have more room to move with your breast tissue but this would mean a pocket revision and a wide or big pocket may increase the risk of implant displacement or bottoming out. 
These are your best options but if it doesn’t bother you too much it is ok to leave it as is. There’s really nothing wrong with the implant or the procedure. It is up to you.

Best of luck,
Dr. Miguel Mota

Semih Yildiz, MD, FEPOBRAS · Answer

It is difficult to diagnose the exact cause from photos alone, but bottoming out usually means the implant has dropped too low in the standing position, with the nipple appearing relatively high on the breast. Your photos show a contour change and asymmetry when lying down, which could relate to the implant pocket, capsule, soft-tissue support, or how the implant shifts with position rather than classic bottoming out alone.

At 10 months, the result is mature enough that it is reasonable to be examined by your original surgeon or a revision breast surgeon. The exam should check implant position while standing and lying down, the breast fold location, capsule tightness, and whether the implant moves too far to the side or downward. If the problem is significant and bothersome, it can often be improved with pocket correction, capsulorrhaphy/internal sutures, implant exchange, or lift revision depending on the findings. If you have pain, sudden swelling, redness, or a rapid change, you should be assessed promptly.

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Thanks for your question. It is very difficult to tell based on your photographs but it looks like the edge of the implant is visible in this area when you are lying down. This may be because there is a problem with the underling implant (for example rotation), or the soft tissues overlying the implant are not appropriately tailored and are falling off the implant, leading to visibility, meaning that you may benefit from tightening of the skin envelope via an uplift. See a plastic surgeon on the specialist register with a practice centred around aesthetic breast surgery.

Guler Gamze Eren, MD · Answer

Hi from İstanbul.Many thanks for your question.It is not possible to understand and comment clearly from the pictures, but as far as I can see, there is a possibility that the implant has rotated, so I recommend that you consult your own doctor and have a physical examination. Your own doctor will make a more accurate comment because he knows the technique he used during the surgery.
Best LuckDr. Güler Gamze Eren

Daniel Barrett, MD · Answer

Dear RealSelfMembe09344,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Wayne I. Yamahata, MD · Answer

Your photos do not suggest that you are bottoming out. If the breast looks normal when you are standing, then it is not likely you will need to do anything to address this. If the appearance you show lying down bothers you, there are likely options to address this. To provide a definitive diagnosis and treatment options would require a physical examination. I would suggest a return visit to your surgeon to discuss this.

Richard Baxter, MD · Answer

It is very difficult to tell what is going on from the photos, but in general when there is an indentation between the nipple and the bottom of the breast it is a double bubble.  If it appears worse when you tighten your pectoral muscle then it could be related to animation deformity, which often looks the same as double bubble.

Gary M. Horndeski, MD · Answer

Unfortunately, your photographs are limited.  However, it is most likely that your breast implant is at one level and the breast tissue is at another.  This will cause this deformity.

Best Wishes,

Gary Horndeski, M.D.

Alejandro Nogueira, MD · Answer

Your implants failed to attach to your chest because they are probably smooth in their shell or microtextured; you can consider moving to biovelcro featured polyurethane coated implants, they won't move when you are flat.

Not to be ruled out, due to the detachment the implant might have flipped upside down.

Not to be ruled out, due to the detachment the implant might have flipped upside down.

Connie Hiers, MD, FACS · Answer

When you lie down, your implant is poking through thin tissue. An upright photo is best to see if your are bottoming out. However, since you are thin inferiorly, I suspect you are.

What is this Deformity when i lie down? Can this be fixed? (Photos)

Answers (11)

More Breast Lift with Implants Questions

Breast uplift / exercise / weight loss - Personal trainer

How bad is my sagging? Can I get implants only without a breast lift? (photo)

6 months post op - Donut lift + implants, tuberous breasts drop and fluff (Photos)

Increase size and make breasts appear closer together. Can I get just implants or do I need a lift? (photo)

Difficulty breathing after breast surgery

3rd revision as shape of breasts haven't improve, what's going on - is it my posture or body? (Photos)

WE SEND PRETTY
EMAILS