Have my implants bottomed out? Am I still able to get bigger implants? (Photo)

Question

I need help! I had a breast augmentation a year ago. Today I went to a different surgeon to get a second opinion/discuss going bigger and he told me my implants are at the early stages of bottoming out! I'm panicking...is it true? Why did this happen? It's only been a year! I'm going back to my original surgeon in a few weeks. Am I still able to get bigger implants?

Gary M. Horndeski, MD · Answer

Implants bottom out because the only thing holding them up is your skin envelope.  If you got with larger implants it will become even worse.  The solution would be smaller implants higher with plication inferior and laterally.  Your other alternative is explantation, waiting 6 months and then placing small implants totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Beachlover1999,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

The second surgeon is correct. Your implants are starting to sag. Do not go larger, or you will sag again from heavier weight.

Darryl J. Blinski, MD · Answer

Based on the nicely posted photos I do not see real "bottoming". Exchange through areolar incision recommended. Fees in the $5,000+/- ranges. Best to virtual consult with...

Richard P. Rand, MD, FACS (retired) · Answer

I don't see any evidence of bottoming out in the photos. Go back to your original trusted doctor and see what they say.

Have my implants bottomed out? Am I still able to get bigger implants? (Photo)

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Answer: Have my implants bottomed out? Am I still able to get bigger implants?

Answer: Have my implants bottomed out? Am I still able to get bigger implants?

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Everything you need to know about Breast Implant Revision

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Have my implants bottomed out? Am I still able to get bigger implants? (Photo)

Answers (5)

Answer: Have my implants bottomed out? Am I still able to get bigger implants?

Answer: Have my implants bottomed out? Am I still able to get bigger implants?

Answer: Bottoming out?

Answer: Bottoming out?

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Recommended reading

Everything you need to know about Breast Implant Revision

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