Am I showing signs of bottoming out? (Photo)

Question

I had a breast augmentation back in March 2023. I did over the muscle and got 385cc. Prior to surgery the right breast was slightly higher A few months ago I noticed that my scars weren’t in the breast fold anymore like right after surgery. I took some photos and noticed that my right breast seems to be more upward then normal. It seems like the upward point and height seems to be a little more exaggerated now. Is it possible it is bottoming out?

Daniel Barrett, MD · Answer

Dear scrollinginsecret,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

You do show asymmetry of the folds in your preoperative photos but it does appear that you are beginning to bottom out.  Visit with your surgeon to discuss your concerns.  Surgery would be needed in order to correct this.

Aftab Siddiqui, FRCS(Plast) · Answer

Thank you for the question. From the pre op pictures, it is evident that nipple positions are asymmetric and IMF is higher on left. It will be use full to see operation notes and early post op pictures if infra mammary fold has dropped or has there been increase in nipple to IMF distance. Are the implants behind the muscle or behind the breast tissue ? Without looking at pre op picture, it appears to have bottomed out on left , but it needs to analysed with more detailed information.

Nelson Castillo, MD · Answer

Thank you for sharing your before and after images.  It does appear that your left breast has suffered some mild bottoming out leading to a high-riding nipple appearance, lengthened nipple to breast crease distance and the lower pole implant demarcation.  Unfortunately surgery would be required to attempt to correct this.

Connie Hiers, MD, FACS · Answer

Yes, both are bottoming out, one a little more than the other. Being on top on the muscle, only your breast tissue which has been stretched and thinned from the implant is supporting the weight of the implant. do wear a good supporting bra now.  You can have the pocket tighten with possibly adding the mesh, or place the implants behind the muscle for better support and tighten the pocket..

Am I showing signs of bottoming out? (Photo)

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Am I showing signs of bottoming out? (Photo)

Answers (6)

Answer: Am I showing signs of bottoming out?

Answer: Am I showing signs of bottoming out?

Answer: Implants

Answer: Implants

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Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.