Have my implants bottomed out? Is a revision needed? (photos)

Dear Peaceful262562,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

It does appear that your implants have migrated slightly lower, resulting in pseudoptosis and "bottoming out" to a slight degree. It does not look terribly unnatural as many women, especially those who have breastfed, will develop a natural pseudoptosis over time. Whether or not you get it fixed would depend on how much it bothers you cosmetically and whether or not it causes you discomfort.

Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. Your implants have definitely bottomed out, however you do not need mesh. I wrote the very first paper on the internal bra-capsulorrhaphy over 20 years ago. In your case, I would perform a capsulorrhaphy-internal bra and mastopexy. You should be able to have an excellent result. Best wishes to you

Based on the pictures, it looks like your implants have been placed above the muscle and that there is not enough support to hold them. It doesn’t seem that they are bottoming out.

I would recommend to consult with your original surgeon. If the implant are above the muscle, I would recommend to have a revision implants placed under the muscle

Yes, you have bottomed out from the weight of such large and heavy implants. It would be best to revise your lower pocket, perhaps use mesh for more support, and go smaller so this does not happen again. The 525 cc implant size is too large and heavy for your tissue. Otherwise, wear a good supporting bra in hopes it does not get worse.

At this juncture, an implant revision may be some thing that you can entertain, however, you do have a good aesthetic result at this time. Implants will continue to change over time, and it does appear as though the weight of your implants have stretched out the skin in the lower pole, which has resulted in more of the implant on the lower aspect of your breast, and the nipple, pointing in a more skyward direction. These can be challenging operations to improve upon with shortening of the distance between the nipple and the inframammary fold. Furthermore, this is an operation that may require mesh and or new implants. Understand that this can have unpredictable results and you currently have a healthy and aesthetic appearing result.

Your breasts have settled lower than desired, but not bottomed out (your nipple are centered in the middle of your breasts). A revision with capsulorrhaphy (suturing of the capsule) would raise the breasts and give you more upper pole fullness. The weight of your implants and anatomy MAY allow the breasts to once again descend lower.
Best wishes,
Dr. Taranow

You do have a suboptimal result but preop photos would have helped. You said dual plane but they have the look of above the muscle, ball in sock. Either they need to go under the muscle, or you need some additional support materials because your tissues are weak, or you need a full breast lift to tighten up a saggy lower pole. Or all of the above.