Implant bottomed out 3 years post-op? (photo)

Hi, thank you for sharing your question. It’s difficult to diagnose the exact problem with photos alone but the implants seem to be malpositioned and this could be due to a number of things that may require surgery to correct, including a capsular contracture.

Always best to check with your surgeon, if possible, as your surgeon knows how you started and what was done. Otherwise, an in person exam by a plastic surgeon and a history of what was done is needed to answer your question. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., US

Dear ryms,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery