Implant size and bottoming out? (Photo)

If you are bottoming out with 250 cc's, I would not go much larger unless your surgeon supports this weight with mesh. Most women bottom out from getting an implant that is too heavy for their tissue.

Dear Unknown28,
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

In terms of implant size, if you are size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From this, you can determine the volume required to achieve your desired goal. You only need the plication performed on the lower breast. You will need inferior plication done at the time of implant exchange. You may also benefit from circumareola approach to move the nipple-areola complex more centrally.

Best Wishes,

Gary Horndeski, M.D.