Am I bottoming out? Breasts falling below incision line. (photos)

Hello,Thank you for your question and photos. Based on the pictures, you do appear to have some malposition/bottoming out of the implants. I recommend that you be seen in person so that your Plastic Surgeon can assess and talk about options.

Thank you for your excellent question and your photos.  You do have some bottoming out. The inframammary approach is the most common way to place breast implants. 
Planning the incision involves many factors including: the size of the implant, the location of your native fold, whether the fold will have to be adjusted, skin quality and stretch, as well as your nipple location. Over time, there will be some skin stretch which will cause the incisional scar to migrate superiorly.  In some cases the fold has to be adjusted, if the fold is not appropriately resuspended, the implant may migrate inferiorly.  
If there is a significant amount of bottoming out, you may need revisional surgery which may require the use of a mesh or dermal matrices to resuspend and stabilze the fold.  In some cases, this may also require exchanging your implant for a smaller one.
Follow up with your plastic surgeon would be the first step.  Make sure your plastic surgeon understands your concerns and goals.  It is also important that you see a plastic surgeon that has experience dealing with such complications.

Good Day,

Nicholas Jones, MD

I am sorry to hear about/see the problems you are having after breast augmentation surgery. I think your concerns are appropriate; your breast implants do seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”).
It is possible that you are feeling the implants significantly along the lower poles of the breasts. Patients in your situation often complain of discomfort in the area of implant malposition. Also, consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low. 
Given your concerns, I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). Sometimes, depending mainly on the patient's history and physical examination, I will also use additional supportive materials such as acellular dermal matrix or biosynthetic mesh. This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation.  
Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with revisionary breast surgery. 
I hope this, and the attached link (dedicated to corrective surgery for bottoming out concerns), helps.