Are my implants bottoming out? Is this because my surgeon made the pocket too low? How do I fix this?

Question

275 cc moderate, under the muscle through the armpit. From post op day 1 my implants were dropped. I never experience them sitting high and fluffing, they were in a low position starting out. Now I have 0 cleavage because they’re so bottom heavy. They are also very far apart. Are the bottoming out? Did my surgeon place them too low? How do I fix this? Definitely not the result I was hoping for :/

Randal Haworth, MD, FACS · Answer

Based on your pictures, it is possible that there is a fold malposition, causing the border of your breast to move downward or to the side.

A breast implant revision using Strattice could fix this issue.

Of course, an “in person” exam is necessary.

I hope this helps,
best of luck !

Daniel Barrett, MD · Answer

Dear Genius188143,
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

David Nicholas Csikai, MD · Answer

The pocket certainly could have been made to low or this may be normal settling.  I would revise the implant pocket through another approach possible tacking the fold. Also a larger implant may give more upper pole fullness.

Connie Hiers, MD, FACS · Answer

Your implants are sitting low, but could be raised and the inferior pockets could be tightened. Do wear a good supporting bra now and discuss your concerns with your surgeon.

Are my implants bottoming out? Is this because my surgeon made the pocket too low? How do I fix this?

Answers (4)

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