10 months post-op. Am I experiencing bottoming out? (photos)

Dear Nurturing7277,
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

Thank you very much for your question.Your implants look to be lying in a relatively good position but it does look like the scar is potentially sitting a little higher up on your lower breast tissue rather than in your inflammatory fold - but this may just be shadows or down to the angle of the photos. Your breast implants do look slightly large for your frame and bottoming out does usually occur when breast implants are too large for the breast pocket so this may become the case. Your left implant does look slightly lower than your right implant in your front facing photo and your areolas are slightly wide and your left areola in particular is located slightly laterally. It may be useful to support your breasts at much as possible be wearing supportive bras to limit any further descent in your implants and if you are feeling concerned or unhappy with the appearance of your breasts particularly the slight descent in your left implant then it would be sensible to discuss this with your surgeon. Mr Adrian Richards, MBBS, MSc, FRCS (Plast.) Plastic & Cosmetic Surgeon

Hello. Thank you for your inquiry.

It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind