2 years post op. Is my implant bottoming out? Scar looks worse and implant can be felt. (photos)

Question

I got my surgery October of 2020 and everything was fine until I started noticing that I could feel my implant on the medial bottom side of my right breast. I went to my surgeon and he said it was normal because I had thin skin. Months have passed and now my breast looks lopsided, I could feel my implant even on that one spot. It looks like it’s bulging out. My scar looks worse too. I am very petite and tend to lose weight quickly and I have lost a few pounds since my surgery.

David Parizh, DO · Answer

I think it is possible for the implant to bottom out given your frame and the size of the implant. Especially with the weight fluctuations you may have always had this issue it just became more bothersome. Combining fat grafting, smaller implant size can help avoid these issues in regards to a revision. It all depends on your goals and what is bothering you. Certainly no reason to not be happy with your results when options out there to make it better. Happy to layer the conversation with you more formally. Best of luck!

Gianfranco Frojo, MD · Answer

Hello! It seems that you have implant malposition. This can be due to many reasons. You should definitely see a plastic surgeon that specializes in breast revision surgery. This is a complex problem and you need a true expert to fix this issue. Your solution involves placing likely smaller implants and a support system such as Galaflex.

Miguel Mota, MD · Answer

It does seem like it is bottoming out, but mostly on the medial bottom side of the breast. And it also seems like the implant is larger on that left side. You obviously need a pocket revision and I believe you would benefit from a peri-areolar lift as welll. I would even consider reviewing implant size on that breast….. 
Conclusion: A pocket revision with a mesh, a smaller implant, plus a small peri-areolar lift would address all your issues.

Best of luck,
Dr. Miguel Mota

Jeffrey Lisiecki, MD · Answer

It looks like your implant is bottoming out on the left. The change in shape may also be related to capsular contracture. Repair of the pocket, possibly with internal mesh, and implant exchange is likely the fix but you should be seen in person to evaluate.

Celal Alioglu, MD · Answer

Hello you need to change breast implants because they are big to your body structure. When we make smaller implant you will need also breast lifting

2 years post op. Is my implant bottoming out? Scar looks worse and implant can be felt. (photos)

Answers (10)

Answer: Implant malposition and/or capsular contracture

Answer: Implant malposition and/or capsular contracture

Answer: Breast implants

Answer: Breast implants

Recommended reading

Everything you need to know about Breast Augmentation

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2 years post op. Is my implant bottoming out? Scar looks worse and implant can be felt. (photos)

Answers (10)

Answer: Implant malposition and/or capsular contracture

Answer: Implant malposition and/or capsular contracture

Answer: Breast implants

Answer: Breast implants

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

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