Bottoming out - will wearing an underwire bra help or will I need a revision? (Photo)

Thank you for your question. I have been in practice for over 30 years and revision breast surgery is a large portion of my practice. Your breasts have a near perfect appearance. There is always going to be some mild asymmetry. I would definitely recommend not performing any other surgery. I would leave it alone and enjoy your breasts

Dear Trustworthy450800,

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

Your implants are held by the skin envelope. Your muscle is contracting and pushing the implants inferiorly and laterally and that is why they are bottoming out. Wearing an underwire bra will not help. The alternative to consider is to take out the implants and replace with smaller ones. This may help you not develop symmastia since your breasts look like they are already touching.

Best Wishes,

Gary Horndeski, M.D.

Definitely, continue to wear a good supporting bra. If it gets no worse, then just enjoy what you have. If it continues to fall, you will need to go smaller for your tissue is not supporting the weight of these implants.