Have I bottomed out? Do I need a revision? (Photo)

Question

I had a reduction/lift/implant. I selected an ultra high profile for the most full beat on top. I wanted them to be very full and high, and end a nice face look. This is the result. Have my breast bottomed out? They are very flat with no volume on top. Do I need a revision, if so, Is this usually covered with the cost of my first surgery with it being within 6 months?

Gary M. Horndeski, MD · Answer

Unfortunately, your photograph is inadequate.  We need frontal views.  However, it does look like your implants have bottomed out.  It would be helpful to see what your pre-operative photographs looked like.  I do not understand why you would have a reduction and implant placement at the same time as that is not necessary.  It is possible that you could undergo a small revision with fat transfers to create upper pole fullness or you may need the procedure redone.  You would have to physically examined to make a final decision.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Diligent764717,
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

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. A large portion of my practice is dedicated to breast revision. It appears that you should have had a mastopexy-breast lift AND removal of breast tissue from one of your breasts at the time of your initial breast augmentation. Over the years, I have developed a technique known as "Reductive Augmentation ".  This maximizes the upper pole fullness and reduces the amount of bottoming out.  You are an excellent candidate for this. Best wishes to you.

Connie Hiers, MD, FACS · Answer

Your one photo is not the best to determine what is happening. it would be best if you submitted a nude photo of your full front and side view.  Any fee for revision is probably outlined in your paperwork or could be discussed with your surgeon.

Have I bottomed out? Do I need a revision? (Photo)

Answers (4)

Answer: Implants

Answer: Implants

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Have I bottomed out? Do I need a revision? (Photo)

Answers (4)

Answer: Implants

Answer: Implants

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.