1 year after subfascial breast augmentation and breasts have dropped significantly. Am I bottoming out? (photo)

Hello !

It doesn’t look like they are particularly bottoming out but it looks like your breast sag due to stretchy skin and weakened tissues.
Fortunately, it can be fixed with a tissue matrix (like Strattice) to support the tissue and hold your breast pocket in the desired location.

I hope this helps,
Best of luck !

Randal Haworth

Dear Abcdefghiklmn,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

It doesn't appear from your photos that you are necessarily bottoming out, but the breasts do appear somewhat ptotic. I encourage you to visit with your surgeon to discuss your concerns and learn more about your options.

Hi there, It looks like your breast implants have started to fall below the fold/IMF (bottoming out) which has caused the incision to rise. You don’t necessarily need to get this fixed as it is mild, but if you want to there are techniques that can be done during surgery to fix this. Good luck!

You did not show your before photo, but I suspect one breast sat somewhat lower than the other. You don't appear to have bottomed out as of yet. However, please discuss your concerns with your surgeon.

Thank you for your question.

Based on your photographs I do not see evidence that you have bottomed out. Based on your photographs I think your result looks appropriate with an equal distribution of volume above and below the nipple areola. Typically with bottoming out the distance from the bottom of your areola to the crease under your breast enlarges and too much skin is seen below the nipple areola.

The fact that your incisions are not in the inframammary crease is not visible on the front view thus based on your appearance I would not intervene surgically.