Has my implant bottomed out? (Photo)

Question

I had 350cc hp implants 6 moths ago, my right one feels nice but the scar is showing abit more and the left feels slightly higher on my chest, no pain and both feel soft, has one bottomed out or has the left just not dropped fully??

Donovan Rosas, MD · Answer

Bottoming out refers to the descent of the implant below the level of the fold. A rising scar is often times a tell tale sign of a falling implant.

That being said, your photos demonstrate some asymmetry which may have been present preoperatively. Without pre-op photos for comparison, it is difficult to say if the right is descending or the  left is riding high. At 6 months, your result is unlikely to change significantly.

It is also important to remember in all aspects...they are "sisters" not "twins."

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Daniel Barrett, MD · Answer

Dear Pioneering504860,
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

Azita Madjidi, MD, MS, FACS · Answer

The fact that a scar is more visible on one side does not mean bottoming out. It could be for several reasons: your breasts might have been at different levels to begin with (very common), or the incision has been placed at different levels. Both breasts do not recovery from surgery identically. It depends on your physical activities, how you sleep, if you use your right hand more or you left had more etc. No one is symmetrical.

Camille Cash, MD · Answer

At six months post op you are seeing your final results.  There are no obvious signs of the implant bottoming out from the submitted photo but it would help to see pre op photos as well.  I encourage you to visit with your surgeon to discuss your concerns.

Connie Hiers, MD, FACS · Answer

The left implant is still sitting a little high. I would suggest wearing your chest band to encourage it to settle down more quickly.

Mats Hagstrom, MD (license on probation) · Answer

Just start with most people have the left breast sitting higher on the chest wall than the right side.
This is true for most people by about half an inch.
Based on your pictures you’re right implant is sitting lower than your left in relationship to the breast itself.I wouldn’t call it having bottomed out but your right side is more in that direction.
Choosing excessively large implants that are larger than the natural breast, diameter increases, undesirable side effects, complication rates, and the need for revision surgery.
At this point, I would not call you having a bottomed out implant(right side) , but depending on how the procedure was done, and the selection of implants time will tell if it starts heading in that direction.
Six months is pretty early when judging augmentation outcomes.
Working with modest size implants, decreases these complications significantly.
Best,
Mats Hagstrom, MD

Has my implant bottomed out? (Photo)

Answers (6)

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