Is my implant bottoming out? (Photo)

Question

I had 450cc placed into my breast in December. Two weeks so I had a revision and put it 650cc. I'm 6ft tall so that is why the I plant doesn't look too big. My issue is that my breasts have always been symmetrical and even after the first surgery they sat on the same level. On breast is now sat extremely low and I don't have any breast fold in either breast .they look like cones. I was an a cup before any surgery

Robert M. Wald, Jr., MD · Answer

It is difficult to answer your question without seeing your prep photos. At 2 weeks, it's impossible to comment on your result. It takes at least 6 months for everything to settle. I would be patient and let your body heal. With larger implants, there will be more tissue stretch.

Christopher J. Morea, MD · Answer

Thank you for your question. Based on your photos it appears you just had your revision surgery. Based on the photos provided the left implant( as I look at the pictures) it appears lower. I belive it takes at least 4 months for implants to settle. I would reevaluate after that amount of time.

Ira H. Rex III, MD · Answer

You probably have a good idea of what I am going to say, but you really do have to wait three or six months or so, before you see the final result. There is often quite a bit of swelling that accompanies breast implant revision. If it gives you a little comfort, the things you are concerned with are fixable if they indeed remain a problem. Good luck with your new implants.

Brian Bassiri-Tehrani, MD · Answer

This is a good question. Based on the photos provided and your timeline, it is a little bit too early to determine if you implants are bottoming out. Typically, it will take months to tell if the implant is in the right position or not. A risk factor for implant malposition is having very large implants (greater than 450cc implants). In some patients, using an internal bra (mesh) to keep the implant in place is needed to prevent the implant from dropping over time, especially with larger implants. Hope this helps!

Daniel Barrett, MD · Answer

Dear jasmine5101,
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

Connie Hiers, MD, FACS · Answer

You are early in the healing process and have swelling. However, please be checked to make sure your swelling is just swelling and not a blood clot.

Douglas Taranow, DO, FACOS · Answer

It appears that your revision was very recent based on the tape and bruising.  While it does NOT appear that they have bottomed out, it does show that one side has a lower IMF (Inframammary fold).  You should consider taping the right IMF and wearing an ace bandage on top of the breasts along with Left upper pole massages to help the implant fall into the pocket.
If asymmetry exists at 6 months, you may require a revision.

Is my implant bottoming out? (Photo)

Answers (7)

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