Bottoming out - Can this happen after a breast reduction / lift without implants?

Dear Fantastic68921,
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.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question. Yes bottoming out can happen without implants. This is when the breast tissue falls to the lower part of the breast. This will naturally happen to some extent, regardless of the procedure as gravity will always have an effect.