How to Fix Slight Bottoming out Due to Over-dissection?

This is a very straight forward fix for plastic surgeons who specialize in revisionary breast surgery. It would require an inferior capsulorrhapy (suturing the pocket) and a mirror image superior capsulotomy. I have written two papers on this topic. The surgery takes about 45 minutes and the recovery is minimal.

Breast revision surgery is performed for a number of reasons and factors related to the patient’s initial breast surgery. One reason is #asymmetry.
However, there's no guarantee the #asymmetry will simply be resolved with one breast revision. There are various reasons breasts can appear uneven or asymmetrical; which have to be taken into account when your surgeon determines the appropriate approach and technique for your #revision surgery.
Typically, it's best to wait 6 to 12 months depending on the reason for #revision.  As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

It’s not unusual for patients to note implant malposition in
the immediate post-operative period.In
many cases, this is transient and related to swelling and muscle spasm.For this reason, revisional surgery should be
delayed for at least six months following surgery. Prior to this time,
corrective surgery involves trying to hit a moving target because wound healing
is such a dynamic process. At six months, skin tightening, muscle spasm,
swelling, and the inflammation associated with wound healing have improved
sufficiently to obtain a good result.Your
left breast implant has drifted downward and needs to be lifted in an upward
direction.This will require a procedure
known as a capsuloraphy.This procedure
involves placing sutures in the lower breast pocket to raise the height of the
inframammary fold.This procedure
provides correction of the problem and is associated with high satisfaction
rates.If
you’re concerned about implant malposition, it’s important to consult your
plastic surgeon.Your surgeon should be
able to formulate a plan that addresses your concerns.

It is almost never possible to have complete and absolute symmetry after breast surgery, especially if you have asymmetry prior to surgery. Having said that, you can always have your breast infra-mammary fold raised with a revision breast augmentation surgery such as capsuloraphy. You need to know that this revision will not guarantee to completely correct this asymmetry since scarring during the healing period can affect surgical outcome.

The left breast fold appears lower than the right which also makes the distance from the fold to the nipple longer on that side. Corrective surgery to raise the left fold is possible through a number of techniques. Manipulating the current capsule about the implant and essentially placing the implant in a new space yields good results. There are also dermal grafts which can be used to recreate/restore the fold to the desired position.

I would encourage you to return to your surgeon and discuss your concerns and options. If your concerns are not adequately met seek out a board certified plastic surgeon for a second opinion.

I hope this was helpful and good luck.