Will "bottoming out" continue to get worse over time?

Question

I had my 3 month post-op visit for my breast augmentation last week. My doctor confirmed that I have "bottoming out" on my left side. Right now it is subtle and does not bother me, but my big question is: Will the implant continue to drop lower and become more obvious over time? My doctor offered to do a revision within the next 3 months, but I don't want to do another surgery if they won't change any more from how they look now (3 months post-op). Any advice is greatly appreciated!

Vincent N. Zubowicz, MD · Answer

bottoming out appearing at three months may indeed progress over the ensuing months. Wait until the situation stabilized and if the results are unsatisfactory a revision will be necessary.

Vishnu Rumalla, MD · Answer

Thanks with your inquiry,  It is difficult to know if your bottoming out will continue.  It sounds like you have a good surgeon, please continue to discuss your final goals with him/her.

Ram Kalus, MD, FACS · Answer

No one can predict with certainty that your bottoming out will progress, but it may. One thing you can do is make sure that you are wearing a bra, preferably underwire, most of the time when you are up and about. If you make it a habit of not wearing your bra it may progress more quickly. Same is true of jogging, etc. Make sure you are wearing a very good supportive sports bra. If it stabilizes and it looks no worse a year from now, you are probably good to go for a long time, maybe never needing any revision. Good luck and hopefully it will work out fine for you.

Angela Champion, MD · Answer

Unfortunately it's difficult to say whether or not the bottoming out will continue to worsen or not.  Since you prefer to not have surgery at this time, you can try to do everything you can to prolong the need to have revisionary procedure.  Talk with your surgeon about your concerns and ask what is recommended at this point when you are not ready to have surgery.  Wearing a bra 24/7 or as often as possible would be a good start as it will help support your implant from further dropping. Good luck. ac

Steven Wallach, MD · Answer

Without seeing your photos or in person, bottoming out issues are hard to predict in terms how much worse it could become. Follow with your surgeon.

Kamran Khoobehi, MD · Answer

Please send pictures for better evaluation. You can wait and see how the implants position progress with time and if they look worse in 3 months, then do the revision.

M. Dean Vistnes, MD - Account Suspended · Answer

There is no way to predict how much more the implants will drop if at all. There is no urgency in having a revision either. You can wait and address the problem if and when it bothers you. Best wishes, Dean Vistnes.

Will "bottoming out" continue to get worse over time?

Answers (7)

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