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Dear Raindrop26,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
Over time, the swelling of the pectoral muscle resolves and the implant settles as the capsule around the implant matures. It is difficult to assess whether your implants have bottomed out, but I would recommend discussing with your surgeon if the breast aesthetic does not meet your goals.
From your photos it appears your implants are beginning to bottom out. Some signs of this are the nipples shifting to an upward direction and an increase in the lower pole. A surgical revision can correct this. Sometimes mesh is recommended to support the tissues. See your surgeon to learn more.
Yes, your implants have bottomed out from the weight on your tissue. They are somewhat heavy for your frame and tissue. do wear a good supporting bra. Please discuss your concerns with your surgeon.
It does appear that your implants of bottomed out. This sometimes happens after mastopexy surgery with or without implants. It’s more likely if the implant is not properly covered by pectoralis muscle.It’s important that the implant pocket is designed correctly to minimize the chance of this happening.Follow up with your provider and talk to him or her about doing a revision.Revision surgery is not all that uncommon after augmentation mastopexy surgery.Best,Mats Hagstrom, MD
Hello, Given that you have a decent amount of your own breast tissue, I would think that once the implants have fully settled you will not notice much of a change with 275cc implants. One of the main reasons patients are dissatisfied after breast augmentation is that they wish they had gone...
Dear Resourceful388991, I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less...
Your breast implants are too large for your frame and are causing tenting. Some of this may settle down with time as your tissues stretch and relax.
