2 months post op, 300cc implants under the muscle. Are My Breast Implants Bottoming Out? (photo)

Question

I'm 2 months post op and went from an A Cup to a C Cup, getting 300cc implants under the muscle. I've been very concerned that the implants seem to be sitting very low and rippling at the side of my right breast. I am posting before and after pics for you to have a look at. I went back to my surgeon and he said I had very little breast tissue and as far as he is concerned this is still a good result and recommends that I put on some weight. I asked him if he lowered my crease line, he said no

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.

	Although I hesitate to second-guess your plastic surgeon (who knows your situation best) I would have  the same concerns that you do about the potential for breast implant displacement ( “bottoming out”).   Of course, given that you are only 2 months out of the procedure, it is too early to evaluate the end results of the procedure.

	Based on your frontal and side view photographs, it seems to me like the breast implants may be sitting relatively low on your chest wall in  relation to the position of the nipple/areola on the breast mounds. In other words, the nipple/areola complexes seem to be pointing upwards,  suggesting that the breast implants are sitting relatively low.

	 At this point, I would suggest that you continue to  follow-up with your plastic surgeon. Continue to communicate your questions/concerns.  Evaluate the end results of the procedure several months from now.

	 Best wishes.

Kenneth Hughes, MD · Answer

The implants do appear to be sitting low, but I would wait at least 3 to 6 months before considering a revision.  I would also make sure that the breasts are soft and do not have capsular contracture.  However, most cases of capsular contracture cause the breasts to lift not drop.  Kenneth Hughes, MD Los Angeles, CA

Larry C. Leverett, MD, FACS · Answer

I agree with the previous surgeons. Another thing to consider is that you must avoid weight training with your pectoris (chest) muscles. Forceful contractions of the pectoral against large resistance causes the implants to be pushed downward and outward which exacerbates and promotes implant malposition. We show our patients how to isolate their muscle groups without increasing the likelihood of malposition and or displacement.

Darryl J. Blinski, MD · Answer

Sorry for your experience. But yes you will need some type of revision. Best to obtain a few in person evaluations from boarded PSs in your area.

Philip E. Fleming, MD · Answer

By looking at various skin markings in the photographs, it does appear that your implants are below your natural inframammary crease.  This situation can occur by dissection of the implant pocket below the fold at surgery or by descent as a result of gravitational or muscular forces.  In patients with a tight crease, this situation can lead to an unnatural indentation in the lower pole of the breast called the "double bubble".  The nipple areolar complexes are pointing slightly upward which is another indication that the implant position is lower than desired.

	Your implants appear to be high profile implants.  This means that the base diameter is relatively narrower and the projection is higher.  This can result in a more spherical look to the breasts.  Your implants are so projecting that they almost look like overfilled saline implants.  A relatively wider based implant (moderate profile) will give you more upper pole fullness.  This would lessen the appearance of the implants being too low.

	I would discuss these concerns with your surgeon.  He knows exactly what was done during your surgery and can make recommendations to address your concerns.  I would wait at least 3 to 6 months after your initial procedure before I would consider revision surgery.

2 months post op, 300cc implants under the muscle. Are My Breast Implants Bottoming Out? (photo)

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2 months post op, 300cc implants under the muscle. Are My Breast Implants Bottoming Out? (photo)

Answers (10)

Answer: Are My Breast Implants Bottoming Out?

Answer: Are My Breast Implants Bottoming Out?

Answer: Are My Breast Implants Bottoming Out?

Answer: Are My Breast Implants Bottoming Out?

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Everything you need to know about Breast Augmentation

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