Did my implants settle too low or it bottomed out? Currently 350R/325L MP+1yr 8mos po. Down to 275/300HP? (Photos)

I don't think your implants have settled too low at all! You have a very nice, natural balanced result. We talk about this ideal balance being 55% of the breast volume being below the nipple and 45% being above and you probably are very close to that! Some of the pictures you included show upper fullness WITH a bra and that is very normal in women that have a very natural result. Full up top with a little help (bra or swimsuit) and natural without. Then the one pic in the bathroom at an angle is sitting a little high still, (I assume early post op) and the "Day 21" is a bit uneven with her right implant sitting higher than her left....So all in all, you have a great result for your frame and I really would not consider more surgery.....

Dear Californian,   Thanks for posting your after pictures and your goal pictures. It would have been helpful to see your before pictures.        From observing your pictures, you appear to be full C cup size and your breasts clearly bottomed out. The nipples - sub mammary crease is too long. The reason your bras do not feel good is due to the low position of the sub mammary crease, which make it difficult to cover the  areola with the bra and  they stick out.   In my opinion , your breasts size is very attractive, however the goal pictures that you posted are C or small C cup size, so if you are currently 34 full C with the 350/325 cc implants, to become 34 C , you will need implants with volume of 275/250 cc.   To achieve your  breasts shape goal you will need to have bilateral inferior capsulorrhaphy (internal bra) which will raise up the creases, shorten the nipple crease distance . That maneuver  will give you the upper pole fullness that you are looking for and will  allow the bras to cover the areolas.   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of redo breasts augmentation  in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky and natural looking.                      Best of luck,                                     Dr Widder

The weight of your implants exceeds the mechanical strength of your skin envelope.  Your breasts have descended inferiorly and laterally and will continue to do so.  You must go to smaller implants or augment the mechanical strength of your breast.  Passive techniques have been used such as plications and artificial materials but the best solution would be much smaller implants.  Another alternative to consider is explantation, waiting for approximately 6 months and then placing much smaller implants totally submuscular with a simultaneous lift.Best Wishes,Gary Horndeski, M.D.

Dear lookgood_feelgood07, I think your implants settled low because they are large and your frame is small and you might have had some skin laxity preoperatively.  I would also caution you when looking at pics online. Women who are wearing bars or bikinis may not be representative of what they really look like naked. Additionally, you posted women who are very fresh postoperatively which is also not representative of their final result because there is still so much swelling that it may give you the impression that they are "fuller" up top.  From your "wish pics", it looks as if you prefer smaller implants that have more upper fullness which can be achieved with higher profile and more cohesive implants. Make certain that you see a board certified plastic surgeon so your desires and goals can be communicated. Good luck, Dr. Suzette Miranda Board Certified Plastic Surgeon 

Good morning!You don't really have bottoming out, but your implants have settled a little low, and you want them smaller and perkier. I would recommend the Original Internal Bra, my strong permanent internal suturing technique which will make the pockets smaller, higher and tighter on your chest wall. Then switch to an HP or XHP implant and that should do the trick. You do not need a lift- it wouldn't accomplish anything.

Dear lookgood_feelgood07,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery