Implant bottomed out 3 years post-op? (photo)

Hi, thank you for sharing your question. It’s difficult to diagnose the exact problem with photos alone but the implants seem to be malpositioned and this could be due to a number of things that may require surgery to correct, including a capsular contracture.

Post Op asymmetry is common and often is a function of the degree of pre-op asymmetry. Remember "sisters...not twins"

Bottoming out is a phenomenon which occur secondary to failure of the fold at the base of the breast. The fold can give way naturally (especially in the case of a large volume augmentation) or can be disrupted via surgical approach. The hallmark for bottoming out is an implant which falls below the crease. This can often times be noted by upwards migration of the fold access incision.

Based upon your photos, it is difficult to say for certain that you have bottomed out. Both scars lie slightly above the fold. However, this is only an issues if you have noted a change over time.

As always. discuss your concerns with a board certified plastic surgeon (ABPS).

Always best to check with your surgeon, if possible, as your surgeon knows how you started and what was done. Otherwise, an in person exam by a plastic surgeon and a history of what was done is needed to answer your question. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., US