Is my right implant bottoming out at only 6 weeks post-op? (photos)

Question

I had 290cc round silicone under muscle implants 6 weeks ago. From the start my right implant has looked alot different from the left (normal I know) but it seems to be slipping lower everyday. I can feel the implant underneath as if the pocket it is in has opened up at the bottom, or was not closed properly in the first place. Is this due to over disection of the pocket and can this be fixed before it gets any lower, with some stitches to close the pocket and push implant back up.

Aldo Guerra, MD · Answer

Thanks for your question. In the photos, it is quite hard to see what is going on with your right breast. There may indeed be a small amount of bottoming out as the implant migrates below the original fold. This can be treated with revision surgery, but you wold have to see your plastic surgeon about your options. Suturing with fold reconstruction is only one option. Best wishes, Dr. ALDO

Giorgio Netri, MBBS · Answer

Thank you for your questions and pictures.

As you said the two breast at the beginning can look different as they settle in different time and six weeks is still an early stage.

Bottoming out means that the implant is sliding outside the desired pocket: to confirm this will need a consultation and an examination.

It is possible if this is that case to re -stitch the pocket internally but I advice to speak with your surgeon about timing.

If need I prefer to wait few months when the other implant is fully settled to avoid more surgery and when the scar is not so fresh to avoid complication.

Regards

Mr Netri

Tom J. Pousti, MD · Answer

I am sorry to hear about your concerns after breast augmentation surgery. Your concerns are understandable; the photographs do demonstrate breasts that one of the breasts has more volume along the lower breast poles than upper breast poles.   Whether or not you have "bottoming out" may be a matter of opinion but if you feel that there is too much volume inferiorly and too little upper pole volume, revisionary breast surgery may be helpful.  Adjustment of the breast implant capsules (capsulorraphy)  would likely be necessary to achieve an outcome that you are happier with. With this procedure, the breast implants will sit higher on your chest wall and concerns regarding position of nipple/areola complexes on each breast mound will also be alleviated.   You may find the attached link/video helpful to you as you learn more.

Best wishes.

Jacob Freiman, MD, FACS · Answer

They do not appear to be bottoming out. Rather, one appears slightly smaller. This may be due to the fact that it is slightly higher and needs to settle.

Anne Taylor, MD · Answer

Hello. thanks for including pictures. Actually it does not look too bad. It is normal to feel the implant along the lower pole since you are very lean with a very small amount of breast tissue. I would recommend a supportive bra with an underwire to counteract our enemy-- GRAVITY.  The skin is elastic and will stretch over time due to the weight of the implant so you need to keep it up with a good bra.Good luck.

Is my right implant bottoming out at only 6 weeks post-op? (photos)

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Is my right implant bottoming out at only 6 weeks post-op? (photos)

Answers (8)

Answer: Bottoming

Answer: Bottoming

Answer: Bottoming out...

Answer: Bottoming out...

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.