Do I have bottoming out? How can this be corrected? (Photos)

Your result is pretty good, the condition is called a light bottoming out, can be corrected with resecting some skin and soft tissue to decrease vertical height between areola and inframamarian fold

Dear Thriving569856,

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 for your photographs. It appears that your symmetry is very close. If you feel that your scars are unacceptable, a scar revision may be performed to improve their appearance. It’s important to understand that perfect symmetry does not exist and is not created with an operation and that when you revise a scar you are always trading one scar for a new scar and anticipating that the second scar will be better. Discuss this in detail with your plastic surgeon.