Is left bottoming out? (Photo)

Question

1 year postd op 325left and 385 right. Discomfort and tightness above left breast. Felt like I pulled or strained a muscle a few times. Also discomfort on bottom of breast too especially with no bra. Right side is high but feels ok.

Camille Cash, MD · Answer

At one year post op you are fully healed. The issues you are having can be corrected, however surgical intervention is needed to do so.  Visit with your surgeon for an evaluation.

Derek Fletcher, MD · Answer

Yes, your left breast implant is sitting low which is causing the shelf on the lower pole of your breast. You should discuss this with your surgeon. You will likely need a revision surgery on the left side.

Sean T. Lille, MD · Answer

Your result looks very nice. You have two very different breasts. That is a significant size difference between the two implants. Your left breast is just lower on your body than your right breast is and although your volume seems symmetric the size difference of the implants will magnify other asymmetries.  Discuss with your surgeon the discomfort you are having if it continues after trying a course on anti-inflammatory meds. Unsupported breasts can be heavy and cause discomfort, so always support them well.  I don't see any signs of "bottoming out" which would cause you to look flatter above your nipple/areola and your nipple would be pointed more upward.

Daniel Barrett, MD · Answer

Dear Peaceful602151,
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

Shana Kalaria, MD · Answer

Yes, the left side appears to be bottoming out. If it is painful, you may have a capsular contracture as well. It is best to see a board-certified plastic surgeon in person for an evaluation. Good luck!

Is left bottoming out? (Photo)

Answers (10)

Answer: Bottoming out

Answer: Bottoming out

Answer: Yes bottoming out

Answer: Yes bottoming out

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Everything you need to know about Breast Augmentation

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Is left bottoming out? (Photo)

Answers (10)

Answer: Bottoming out

Answer: Bottoming out

Answer: Yes bottoming out

Answer: Yes bottoming out

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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.