Can someone tell me what’s happened? Am I bottoming out?

Hello and thank you for your question! I understand that it is frustrating to not see the results you were looking for. From the appearance of the photos it appears the breast implants have "bottomed out" and have stretched the lower pole of the breast with loss of the strength of the IMF (inframammary fold). In my opinion, this will not improve on its own and would require a revision surgery to perform a revision mastopexy-augmentation with resetting the IMF and reinforcing the lower pole tissues with products like galaflex (biosynthetic mesh) or ADM (acellular dermal matrix).

Thanks for your inquiry, I suggest you discuss with your surgeon about shortening your nipple to fold distance and consider using some absorbable mesh like Galaflex to hold it in position.

Dear Fearless590719,
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