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

This deformity may happen frequently after reduction of large breasts, regardless of the technique used. If too much breast tissue is left in the breast, in time, due to gravity, heavy breast tissue will descent in the lower pole of breast, stretch a weak skin envelope and create bottoming out deformity. Hope this helps.

Yes, bottoming out can occur without implants especially if you have stretched out tissue from pregnancy or weight loss. Heavy tissue can be hard to keep lifted and stretched out skin won't hold well long term. Internal bras with mesh can be helpful to give more support.

Thank you for your question regarding bottoming out of the breast.

It would be helpful to have photos to see exactly what your breast look like.

If you are having concerns after surgery, I recommend that you speak with your surgeon or someone on his staff.