Am I bottoming out? I've already had 2 revisions, what now? (Photo)

With breast augmentation and breast lifts after the early postop swelling subside, implants tend to sit a little lower. If poor skin quality and heavy breast implants recurrence of the ptosis or bottoming out is possible. Mesh sling and textured implants are good options for implant revisions; another option is smaller implants or fat grafting.

Dear blondie2265,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery