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

Question

I had a breast revision capsulectomy 6 months ago and now I feel like my right breast has lost its upper pole and looks “flat” like a pancake. My breasts are at an even height but somehow the right breast has taken a different shape- much flatter and wider at the base. What do you recommend that I do? Have I bottomed out and what would the treatment for that be?

Daniel Barrett, MD · Answer

Dear thatgirl225,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Your implants are bottoming out and are too large for your chest wall.  I recommend smaller implants with a smaller base and plication inferiorly and laterally.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Both, actually, have bottomed out, but more on the one side. I would suggest going somewhat smaller so there is less weight on your tissue and tightening the inferior pockets. You may need mesh for internal support.

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

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

Answers (3)

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Recommended reading

Everything you need to know about Breast Implant Revision

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