Have my implants bottomed out? (photos)
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Doctor Answers 16
Bottomed Out Implants
Are implants bottoming out?
Are my implants bottoming out
Your photos show a nice result.
- The photos don't show bottoming out.
- Your breasts were slightly asymmetric before surgery (that is normal)
- The asymmetry is the same after implants
- If you aren't happy with the size or asymmetry, talk to your plastic surgeon about a revision and what is involved.
Be sure to see a Board Certified Plastic Surgeon.
Here’s hoping you find this helpful. Have a great day!
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Bottoming out? timing of revision surgery.
I think your implants are properly placed. You definitely have more upper pole fullness now compared to your preoperative picture. "Bottoming out" usually refers to implants that sit so low that the nipples are facing the sky. If you are unhappy with the implant position or size, revision surgery can be performed at any time.
I hope this helps.
- Dr. Bryson G. Richards, MD
Bottomed out implants?
Click on the link below to see bottomed out implants treated with capsulorrhaphy.
Have my implants bottomed out?
Have my implants bottomed out?
Your nipples are in good position and you do not have bottoming out of your implants. Hope that helps!
Bottoming-out or not?----may be a variant with inferomedial migration due to muscle release
I do not think you have classic bottoming-out, as much as your left breast seems to be moving a little bit further medially than ideal. The only way that can happen is if the lower pole pectoralis muscle attachments were cut at the time of surgery with the release extending up along the lower sternum. The easiest way to assess that is to stand in front of a mirror with hands on your hips and thumbs toward the back and press medially on your hips to flex the pectoralis muscles. If the muscles have been cut you will see a groove form obliquely across the lower poles of your breasts, extending toward the armpits, and tending to pull the breast tissue upwards and pushing the implants downwards and medially on the left. If that is the case, repair may prove necessary at some point because the implant or implants may continue to move downward and medially because of lack of muscle support, and due to downward pressure during some pectoralis flexion motions. The medial migration of the left implant is also making it look like your left nipple is rotating a bit laterally in the photos. This sort of migration can lead to thinning of the medial tissues and palpable or even visible rippling in the area, even with silicone. It is hard to assess this more accurately with limited photo views and without dynamic motion assessment, and direct exam by a board-certified Plastic Surgeon experienced with augmentation revisions is going to be your best way to sort this out if you are worried. I hope that this helps.
Tom DeWire, MD, FACS
Result offer breast Augmentation
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