Is my left breast bottoming out?

Question

I got my breast augmentation 8 months ago- 500cc silicone implants. Everything was ok until I started noticing that the incision on my left breast has started to creep up away from the fold under my breast. I'm concerned it may be bottoming out. Does it look like it is starting to? How is this problem typically fixed and does it have to progress to a certain amount for the revision to be done/necessary?

Jaime S. Schwartz, MD, FACS · Answer

From your pictures I think everything looks fine.As the lower pole stretches it is common for some abdominal skin to be recruited onto the breast.this is why the scar can be seen there.hope this helpsdr schwartz

Laurence Weider, MD · Answer

Your scars are a little asymmetrical, but I don't see any evidence of bottoming out from the photos you provided.  If you measure from the nipple to the inframammary fold on each side you will have a more objective measurement to go by.  It would be best to schedule a follow up visit with your PS, but everything looks fine from the photos that you included with this post.

Jennifer Lauren Crawford, MD · Answer

There can be a little asymmetry to where the scar line shows up on the breast mound between the left and right side.  What is more important is how the breasts look straight on.  If the distance from the nipple to the inframammary fold under the breast has not changed since your breasts finished settling out and all swelling resolved, then you aren't developing a problem.  Once again, it is common to notice some asymmetry between the breasts and minor ones are ok and do not indicate a problem.  You are probably reaching a time postoperatively that you are unlikely to see further change and your breasts would likely to seem stable from here unless people develop capsular contracture (and, over time, normal aging of the breast).  If you are noticing an asymmetry that is very problematic for you, please address it with your surgeon.  Best of luck to you!

Angela Champion, MD · Answer

From the photos you posted, it does not appear that you are bottoming out.  Everything looks just fine but if you are concerned, it wouldn't be a bad idea to go see your surgeon for a follow up appointment.  ac

Robert D. Wilcox, MD · Answer

Dear Nesie22,

Looking at your pictures, I think the
implants are in excellent position. Some might argue that ideally the implants
should be a little bit lower so that the nipple is centered over the equator of
the breast mound. However, if they were lower than currently, your large,
500-cc implants would have a larger risk of bottoming out. That is because the
ligaments holding the breast fold to the chest wall would have to be further
disrupted.

I think you have a good result and I hope
this has put you at ease.

Robert D. Wilcox, MD

Is my left breast bottoming out?

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Answer: Is my left breast bottoming out? (Photo)

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Answer: Good Position of Implants

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Is my left breast bottoming out?

Answers (10)

Answer: Is my left breast bottoming out? (Photo)

Answer: Is my left breast bottoming out? (Photo)

Answer: Good Position of Implants

Answer: Good Position of Implants

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Recommended reading

Everything you need to know about Breast Implants

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