Are my implants bottoming out? (Photos)

Question

45 with poor skin elasitcity 340cc OTM

Richard Baxter, MD · Answer

Your implants are mildly bottomed out, probably due to a thin tissue envelope. In this situation, and internal bra with something like Galaflex is most effective, because it adds a layer of support.

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question! Yes, based on the photos, when the implants "overpower" the strength of the breast's natural tissues and breast fold (IMF), they start to drop lower than intended and lead to "bottoming out" - where the nipple looks like it is positioned too high "star-gazing" on the implant mound, although it is not technically too high from an anatomical measurement point of view (i.e. sternal notch-nipple distance, nipple position compared to the mid humerus/upper arm position). Larger, heavier implants can contribute to this along with weaker tissues, patients with a history of weight loss, etc. The correction for this issue is to reposition the implant and its pocket higher, elevating and reinforcing the IMF with sutures or sometimes the "internal bra" technique (absorbable mesh). Revision surgery is difficult and frustrating - I would start with your original surgeon to get their professional opinion before seeking other board certified plastic surgeons.

Darryl J. Blinski, MD · Answer

Based on your series, post of photos, there is a mild degree of bottoming of your breast implants. Surgical option would be revision of full breast lift with internal bra in combination with upper pole fat grafting. Fee $15,000-$25,000. Best of virtual consult with.

Are my implants bottoming out? (Photos)

Answers (3)

More Breast Lift with Implants Questions

What cc implant would you advise for upper pole and a full big look? (Photos)

Is it possible and safe to have a breast lift with implants if diagnosed with anti phospholipid syndrome?

Breast uplift & implants - what are the risks of blood circulation issues if breasts are sagging lower than recommend? (Photo)

Do I need a breast lift on my left side or do you think new implant will help with nipple position? (Photo)

Would a periareolar lift be possible for my case? (Photos)

Breast Lift with Implants, small frame - what shape would be best? (Photo)

WE SEND PRETTY
EMAILS