Do I show signs of bottoming out? (Photos)

Question

I posted a previous question asking if my scars were keloids and I know a doctor responded and said it looks like I'm bottoming out so I wanted to ask others. I have had two Breast Augmentations done in the last year and they cut in the same place. Does it look I'm bottoming out? I have no pain.

Gerald Minniti, MD, FACS · Answer

Hello,
Yes, it appears one has dropped a little bit, but it is technically well positioned relative to your nipple and soft tissue envelope. Overall, you have a great result and you may want to sit tight, relax, and return to normal life for a while.  If you remain stable over the next year, than you really got to ask yourself if operation number three would be worth it. I don't think so. Obviously, if things get worse, then your hand is forced and another trip back to the operating room is necessary.  I wish the best for you!

Martin Jugenburg, MD · Answer

Thank you for your question. Based on your photos, your breasts do not seem like they are bottoming out. Please follow up with your surgeon if you are concerned.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Based on your images alone you do not appear to have any bottoming out of your implants.  You have an ideal result.  Hope this helps.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. I see no evidence of bottoming out at all. It looks like you have an optimal result and you should be very happy with the outcome!Hope this helps!

Kerry Owens, MD · Answer

Thanks for sharing your photos. It does not appear that you are bottoming out at this time. That comment may have been made due to the position of your scars but the implants themselves are currently in good position and you have a very nice result. I do think the implants relative to your frame are on the large side and you may see changes in implant position in the future that could lead you to pursue correction. Be sure to continue routine follow up with your surgeon as suggested and express any concerns you may have. I would not recommend any correction at this time because it just isn't needed. Best wishes.

Curtis Wong, MD · Answer

and there is no evidence of bottoming out.  This occurs as your implants pushes down on the lower pole, lengthening it every so slightly and constantly.  You can measure from your nipple to you fold or use your scar on the bottom as barometers of change.  If the numbers or appearances (scar moving further and further away from the fold) are not changing, there is no bottoming out.  If they are, you will also appreciate loss of volume in the upper pole (concave) and your nipple rotating upwards so its pretty obvious when you do have 'bottoming out'.

David Boudreault, MD, FACS · Answer

Hi Julyyyy,Based on your photos, it appears that your scar has shifted up on to the breast skin, but the implants still appear to be centered under the nipple.  On the side profile, you can see the nipple points straight forward, which is not consistent with bottoming out.  Sky gazing nipples, meaning they point up on the implant, is one of the signs of bottoming out.  Seeing breast or implant below your scar is not bottoming out and in fact an expected outcome in small breasted patients, looking for large augmentation. Given the choice for scar placement, some surgeons will try to put the scar lower than your current inframammary fold, anticipating that the skin on the chest will be recruited on to the breast.  Overall, you have an excellent outcome with near ideal scar placement.Hope that helps.Best,Dr. B

David Rosenstein, MD · Answer

Thank you for your photos. I do not believe that you are bottoming out based on the photos you provided. Best of luck in healing and recovery.

Mehdi K. Mazaheri, MD · Answer

Thank you for your question and photos. Based on the photos it does not appear that you are bottoming out. Your nipple Areolar complex is in good position over your implants. DrMaz

Steven Wallach, MD · Answer

Your implants do not look like they are bottoming out in the photos. Yes, there is slight asymmetry but this is normal.

Do I show signs of bottoming out? (Photos)

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