Am I bottoming out? Should I have this pain? (photos)

Question

I had my breast augmentation on May 4th. Everything is going pretty well, recovery wise. I am concerned about my left implant bottoming out though. It feels like its falling too low and is painful at the bottom when gravity is pulling it. (when I am up and walking around). I know they will drop at different times, so I am not worried about the right one still being higher. I am only two weeks post op, so I am not trying to rush anything. I just feel uncomfortable w/ how the left one sits/feels.

Daniel Barrett, MD · Answer

Dear ashfitgirl1,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

Christopher V. Pelletiere, MD · Answer

Since you are only two weeks post surgery, it is always difficult to assess implant positioning.  However, from your picture it does appear that your one side is sitting lower and causing a double bubble effect.  I would wear a bra that really supports that side while healing and continue to allow yourself to heal.  The three month mark would be the appropriate time to address the positioning of new be.  I hope this helps.

Robert M. Tornambe, MD · Answer

ashfitgirl1.  I appreciate your concerns but way too early to worry. Your implants are pretty large and your body needs time to heal and adapt to the implants. The skin and muscle over the implants must stretch a bit to allow the implants to settle into their final position. While your appearance will improve fairly quickly, don't expect to see your final result for at least 6 months after surgery. Good Luck!

Ven Erella, MD · Answer

Thank you for your question. This look like double bubble.  Please talk to your PS. Your pre op pics will help. I recommend to wait 3 months and re evaluate as they settle with time some time.

Tuan A. Tran, MD, MBA, FACS · Answer

Thank you for sharing your pictures.  You have “double bubble” deformity.  It is stil a little bit early to re-interven.  Would recommend to return to your board certified plastic surgeon for counseling.  Thank you and best wishes

Am I bottoming out? Should I have this pain? (photos)

Answers (8)

Answer: Double Bubble

Answer: Double Bubble

Answer: Double bubble

Answer: Double bubble

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Everything you need to know about Breast Augmentation

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Am I bottoming out? Should I have this pain? (photos)

Answers (8)

Answer: Double Bubble

Answer: Double Bubble

Answer: Double bubble

Answer: Double bubble

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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.