6 months post op. Am I bottoming out and how can it be fixed? (Photo)

Dear Carlita212, determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient...

Dear Birdie 16, 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...

Dear katrinaschan, 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...

Dear Littlelovex, my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions...

I would recommend downsizing the implants, tightening the pocket, placing Galaflex for internal support, and performing a breast lift. Large implants create large problems without adequate support. I recommend seeing a board-certified plastic surgeon with experience in aesthetic breast surgery.

If your breasts keep bottoming out then you have too big of a load. You need to consider another option such as explant with lift or fat transfers or smaller implants. I do not know anyone who will use external sutures to prevent bottoming out. Best Wishes, Gary Horndeski, M.D.