Gel Implants over the Muscle Bottomed out Within Few Months After Surgery? (photo)

I have had my surgery 7 months ago, I read that bottomed out within a few months after surgery is due from over dissection. My surgeon said that I need bigger implants to fill all the loose skin and also need some type of underwire to keep the implants from going downward, why can't I keep the same implants if it being repositioned?is it the surgeon fault?could I have the implants placed underneath the muscle and keep the same implants?as for now he's saying I have to pay for a whole new process

Doctor Answers 4

Implant position over the muscle...

Your post-op photos look very good... and that means your pockets were done 'right'.  If you wanted to maintain that mildly unnatural look, I would have advised supporting them with a bra 24/7 until you healing was complete.  You show natural settling of the implant and one of the reasons I do not like subglandular placements... they tend to settle more then when using the dual plane technique.  My own experience with an old partner who liked subglandular placement confirms through community feedback that the dual plane works better.  But people choose subglandular for their own reasons and its still better then what they started out with.

Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Bottoming out breast implant?

Your implants have not "bottomed out". Larger breast sit lower on the chest, due to weight. This result is acceptable, and probably predictable from your preop assesment. Your surgeon has not "over-dissected" and further surgery will be of little benefit.

Steve Merten, FRACS
Sydney Plastic Surgeon
4.9 out of 5 stars 50 reviews

Bottom out

it does not appear that your implants have bottomed out.  i bet you had ptotic(hanging) breasts to begin with.   unless you have some form of lift if you start with hanging breasts you will get hanging breasts only bigger. reassess the whole situation with your surgeon

Jonathan Saunders, MD
Newark Plastic Surgeon
4.7 out of 5 stars 64 reviews

Gel Implants over the Muscle Bottomed out Within Few Months After Surgery?

I would need a bit more description of what you see as the problem in the photo before I would be comfortable offering suggestions.

"Bottoming out" occurs when the implant descends, going below the breast fold and lifting that fold off of the chest wall. This is not what I see in this photo. 

There are too many possibilities to sort through without knowing what (size change, pocket change to submuscular, breast lift)  to you would improve the outcome. Please clarify. Pre op photos would also be helpful.

All the best. 


Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.