Indent - bottoming out? (Photo)

Is difficult to tell from a picture alone.
If you can feel the implant, then it is mostly related to the texture of the implant.
Rippling is usually more palpable when using sailing implants than silicone.
It’s possible the amount of tissue covering the implant is quite thin in this area.
There are multitude of variables that can contribute, including how the implant was placed.
Generally speaking, there are variables to determine breast documentation outcomes.
The first is the patient candidacy for the procedure. The second is the choice of implants in regards to size shape, and type.
The third variable is the surgeons ability to place the implant in the correct anatomic location.
All three of these variables could be contributing.
Generally when there are issues after breast augmentation surgery, the problem can usually be traced back to one or more of those three variables.
Quality assessment requires quality information in your case that probably means an examination with an in person second opinion consultation.
For second opinion consultations I suggest coming prepared bringing with you a complete set of proper before and after pictures and a copy of your operative report.
These should all be able to be obtained from your current providers office if you request them.
Best,
Mats Hagstrom, MD