I feel like my breasts are settling in too low. Is something wrong here? (Photo)

I appears that your implants have increased the distance from the nipple to the breast fold to a measurement that is too long for your breast width. This can be from numerous reasons including poor selection of implant, poor surgical technique, poor tissue support, weak tissues, oversized implant, or a combination of all of these. I would recommend seeing a board certified or board eligible plastic surgeon with aesthetic surgery training/experience who can perform a full exam and provide safe recommendations.

Your implants have settled too far down on your chest, which is called bottoming out. It is related to lack of support of the implant or overdissection of the pocket. Decreased support of the implant can be because the implant is too larger and/or the soft tissues are too weak. You would need revisional surgery to put the implants in a better position. Unfortunately, a support bra would be of little use at this time. I would recommend visiting your surgeon to discuss your concerns.

Hi Brandoo,
Your breast continue to change shape sometimes over a year out from surgery. If you are ultimately not happy with the final position or shape of your breasts it is always best to speak directly with your surgeon to get a proper assessment of the healing process and what, to see if anything can be done at this point if needed. Sometimes a patient's own skin and breast tissue require extra support with an internal mesh bra to help support an implant. Best wishes,
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Thank you for sharing your question and photographs. It appears you have bottoming out of your implants but an in-person examination of your tissues and a review of your "before" images would prove helpful. Unfortunately correction will require another surgery with a new incision placement.

Dear brandoo,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

"Bottoming out" can occur if implants do not remain supported by your breast fold (inframammary fold). Large implants are at higher risk for this problem. "Bottoming out" can be addressed with surgery that restores the IMF (fold that supports the breast).

Thanks for your question! It does appear as though you might be bottoming out. I would suggest addressing your concerns with your plastic surgeon and seeing how he/she would like to handle it. Good luck!

In situation like this it is imperative you have this conversation with the doctor who preformed you surgery. He or she is the one you has been providing you with the post operative care. It seems as you are wearing the correct bra but discuss your concerns with your surgeon.

First, very nicely posted photos are presented. This is a complication of the operation if using trans axillary approach in augmentation. The inferior pocket were over dissected because this is a blind operation in forming the pockets for the implants. Only revision and correction of the "bottoming"results through infra manmmary incisions can be offered. Expect fees in the $10,000+ ranges because of the difficulty in "fixing" this complication. Best to virtual consult with...

From your photos it appears your implants are bottoming out. The lower portion of the breast needs to be tightened to improve the position and overall result. This will need surgical correction as wearing a supportive bra is unlikely to change what has occurred. I encourage you to visit with a board certified plastic surgeon, or return to your surgeon for an evaluation.