My breast implants feel low, could this be to the profile or placement and should I be worried about bottoming out? (photos)

Question

Why are my implants so low and look like I could fit a pencil in the crease when my original breasts were perky? He did mod plus instead of high profile.. I that the reason or is it because he placed them wrong?

Chet Mays, MD · Answer

I am happy to answer your question! A high profile implant would give you more volume in the upper poles of your breast, some capsular dissection with a capsulorrhaphy can raise your implant and bring it up higher. The best answer is to get a consultation with a board certified plastic surgeon. We would be happy to help you on your journey!

Jonathan Heistein, MD · Answer

Hi.  I think you have a nice outcome with your breast augmentation.  The implants do stretch your skin but it doesn't look like your implants are low or malpositioned.  It is always best to discuss your concerns with your surgeon so that he/she can help to offer a solution to try to make you happy with the outcome.

Daniel Barrett, MD · Answer

Dear Awesome4592,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Guler Gamze Eren, MD · Answer

Hi from Istanbul,You have beautiful looking breasts with breast augmentation surgery. Some of the implants may cause elongation of the vertical length of the breast so it may look like it is bottoming out. This is not about putting the implants in wrong position.

Camille Cash, MD · Answer

From the submitted photos it appears that the implants are placed properly and are not bottoming out.  Your breasts sit a little lower naturally on your chest well.  I encourage you to speak to your surgeon about your concerns.

Connie Hiers, MD, FACS · Answer

Naturally, your breasts do sit a little low on your chest and the bases cannot be lifted. However, one implant is sitting a little lower than the other. Once is exactly where it should be based on your anatomy. Please discuss any concerns you have with your surgeon.

My breast implants feel low, could this be to the profile or placement and should I be worried about bottoming out? (photos)

Answers (6)

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