Why has my left implant bottomed out and what caused this in just one breast? Do I have procedure options? (photos)

Question

Hi I had 210cc implants in April, the left has dropped much lower and it makes it appear larger than the right.

Martin Jugenburg, MD · Answer

hello, thank you for your question. Over time gravity works to bringing the implant along with natural tissue lower. We always have our patients wear a supportive bra at all times. In your case it is early on, its possible that the tissue on one side is weaker especially if there were place sub muscular. I would wear a very supportive bra and wait until you are at least 8 months post op before going back in for a revision. So speak to your plastic surgeon about your options

Daniel Barrett, MD · Answer

Dear Loren 1991,
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

Connie Hiers, MD, FACS · Answer

I would suggest going back to your surgeon and discussing your option of tightening the pocket on the lower side. do wear underwire bras for now and avoid pushing the breast down and out as well.

Why has my left implant bottomed out and what caused this in just one breast? Do I have procedure options? (photos)

Answers (3)

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