Bottomed out - do I need another uplift? Can I have smaller implants? (Photo)

I do recommend going smaller or removing the implants, plus a lift. If you have enough breast tissue, then go with removal and lift. Your surgeon can help you decide this.

Your photo indicates that you would benefit from a breast lift as the tissue has stretched. The implants can be exchanged at the time of the lift for smaller implants. An exam is needed to determine how much natural breast tissue you have in order to say whether or not you could expect a good outcome if you elected implant removal and a lift.

Dear Dynamic4052,
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