Do I have to fix my bottomed out implants?

Question

Hello! I am 4 years post op and just recently learned that both my implants have bottomed out. I Would've never known if I didn't randomly see an article about it. I also posted pictures here and several doctors said that both my implants have bottomed out. My question is-If I'm perfectly happy with my results and have no problems(except very mild rippling on the left scar and a little discomfort on the pec muscle) must I fix it? Is it dangerous?

Daniel Barrett, MD · Answer

Dear rubilove,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

You are not required to fix bottomed out implants.  However, in time, the implants can descend progressively inferiorly and possibly lateral causing more aesthetic problems.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

No, you do not have to do any surgery if you are happy. I would suggest wearing a good supporting bra, with underwire, especially when exercising. It may not get worse.

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Do I have to fix my bottomed out implants?

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