Have my implants bottomed out? (Photo)

Dear Compassionate873954,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello Dear Compassionate, thank for your question and photos. I'm considering that you need breastlift revision and repositioning to correct this bottom out deformity.
Bests

Congratulations on your weight loss! Unfortunately you do have bottoming out. After massive weight loss, the skin loses elasticity and strength. Your surgeon was wise to not place larger implants, as the bigger the implant, the more the risk of implant descent and bottoming out. As to the positioning of your areolas, this is a product of the lower pole descending, altering the footprint of the breast, changing the apparent location of the areolas. The best solution likely is to remove the implants, and fold and lift the lower pole and reduce the distance from the areolas to the fold. (6-7 cm). From the photo it looks to be a 12 cm distance at least. I highly doubt that this was not the immediate measurement after surgery, but something that occurred in the healing process. See your surgeon, or another board certified plastic surgeon to remedy this situation.

Yes, your whole breasts have dropped and can be lifted so that the nipples appear to be in a good place. I'm sure your nipples are fine, but your breasts have fallen down low. Go back to your surgeon.

It does appear that your implants have bottomed out. This likely due to the loss of elasticity from your weight loss. The good news is this can be corrected surgically. One option is to add bioabsorbable mesh to help give more support to the tissues to prevent it from occurring again.