I do not see any bottoming out in your photos. Bottoming out happens when your implant descends and falls below your natural breast tissue
You do not appear to be bottoming out. If your surgeon would not let you pick the size you should have found another surgeon. They are, after all, your breasts. I don't use bras after surgery. That is not your problem. After breast augmentation I find no particular advantage
to the use of surgical bras. In fact, I find that they can do more harm than
good. They hold the implants too high, preventing them from dropping into
position. In addition, they can put pressure on the healing breast or the
wound. They provide no advantage. If the surgery was performed correctly,
external appliances after surgery are unnecessary to achieve the appropriate
final implant position. At one month we allow the patients to wear a soft cup bra
with no underwire. At two months, they can wear any bra with a wire
without push up. Before three months it is not wise to buy a whole new
set of bras. By six months, the bra size is not going to change.
You need to try bras on. Being measured is almost never productive
and almost always oversizes. Find the ones that you like the way they
Any new, unexplained pain should be shared with your Plastic Surgeon.
As for a size increase, you could discuss considerations for larger implants as well once you are completely healed but if you are unhappy with the level of sagging you currently have, you should expect further sagging with 800cc implants and this may lead to less satisfaction with the appearance of your breasts.
I recommend that you talk to your Plastic Surgeon about recommended support bras.
All the best
From your photos, it appears that you may have needed some skin tightening at the time of your surgery. Large implants in excess skin tend to sag with time. Larger implants will only do the same. You should consider the possibility of a lifting procedure to give you the look of larger, more youthful breasts rather than larger, heavier implants.
Continue to follow up with your surgeon to ensure that you progress as planned.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon
It does not appear that your implants are "bottoming out". You appear to have some tubular characteristics to your breasts and a widened intermammary distance. Larger implants are not likely to do anything other than precipitate your need for a breast lift. I would recommend not increasing your implant size. You will need to have an exam with your surgeon to determine the cause of the discomfort that you are experiencing.
I don't think you're bottoming out but your skin envelope is stretching thus resulting in the dreaded sag. You should see your surgeon in person to discuss your options. All the best.
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You are not bottoming out. The implants appear centered side to side and from the profile up and down as well. You have very wide cleavage and lateral (wide set) breasts. A larger and therefore wider implant will aid in narrowing cleavage and providing additional superior fullness. It will lose some durability however. Best to discuss with a breast expert. All the best.
I appreciate your question.
I recommend you follow up with your plastic surgeon to discuss your left breast pain and discuss your concerns/options.
The best way to assess and give
true advice would be an in-person exam.
Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.
Best of luck!
Without viewing pre-op pictures and physical examination, it is hard to know whether you are experiencing a breast implant displacement ("bottoming out") problem. However, your description is consistent with this type of simple displacement problem.
Based on your photographs, you may benefit from revisionary breast surgery; this operation may involve adjustment breast implant capsules (capsulorraphy). This type of revisionary breast surgery may improve the position of your breast implants on your chest wall and may serve to alleviate discomfort. You may find the attached link, dedicated to "bottoming out" surgical correction helpful to you as you learn more. Best wishes.
Hi, I have attached a link that might be helpful...
Hi businessfirst2016. Thank you for your photos. Unfortunately, they don't give enough information to tell if you are bottoming out or not. While an 800 cc implant will give you more volume, you won't see significant lifting. The pain needs to be evaluated before any secondary surgery. Wear a supportive bra. Have another visit with your plastic surgeon, let them workup the pain, and review your desired shape & size-you may be better off with a lift. Good luck!