1 year post op - Have my implants bottomed out? (Photos)

Yes, your implants are bottoming out. The reason they are bottoming out is the weight of the implants is only held by the skin envelope and the skin envelope stretches with time. Your implants are quite large, extend more lateral than your chest wall and this will most likely continue. Your alternatives are to exchange your implants for smaller ones or try to plicate the pocket with a suture or mesh. The mesh does dissolve. I would suggest smaller implants.

Best Wishes,

Gary Horndeski, M.D.

Dear musiclover11,

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

Based on your nicely posted photos, you have a bottoming issue in upper pole deficiency. I would recommend internal mesh bra placement and possibly exchange implant surgery expect fee to range from $10,000-$20,000. That’s to virtual consult with.