Are my implants bottoming out? Almost 6 months post-op (Photo)

Question

I had my surgery nearly 6 months ago. I have 280cc moderate profile. In the last month I noticed that my incisions moved up a little and my nipples are higher placed than I would prefer. I also started to feel the edge of the implant on the bottom. Is it possible that I'm bottoming out? I already contacted my surgeon, I'm waiting for his answer but I wanted to ask others as well.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Typically right after a breast augmentation, they sit very high up and over time within the first year they settle in. Everyone always loves the upper pole fullness and pushed up look but yes your implants have dropped. This being said they do not appear to be bottoming out based on your photos you look great! Of course speak to your plastic surgeon about your concerns and in person exam maybe warranted to truly tell whether or not they are bottoming out. Wear a supportive bra always.

Camille Cash, MD · Answer

Your description of the nipples pointing upward and the incision shifting forward is consistent with implants that are bottoming out.  Your surgeon will help determine if that is indeed what is happening or if it is just the implants settling.

Daniel Barrett, MD · Answer

Dear Thriving760874,
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

Chelsea Snider, MD · Answer

It does appear that your implants are bottoming out, creating an extra long nipple to inframammary fold distance. This leads to the incision and nipple both riding up, while the implant is riding down toward the abdomen. The inframammary fold should therefore be restabilized and secured to correct this and provide implant support. If you have extra skin, this may also need to be tightened.

Connie Hiers, MD, FACS · Answer

Yes, you have some bottoming out. Do wear underwire bras and avoid pushing down on your breasts. Please discuss your concerns with your surgeon.

Are my implants bottoming out? Almost 6 months post-op (Photo)

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Are my implants bottoming out? Almost 6 months post-op (Photo)

Answers (5)

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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.