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September 26, 2026

bottoming-out-of-breast-implants-causes-symptoms-and-treatments

Bottoming Out of Breast Implants – Causes, Symptoms and Treatments

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What does “breast implant bottoming out” mean?

Breast implant bottoming out is a potential complication that can arise after undergoing . This condition refers to the displacement of breast implants, causing them to shift downwards and protrude excessively from the lower breast area.

One can identify bottoming out by observing an uneven distribution of breast volume, with the lower pole appearing longer or fuller than the upper pole region. This alteration in the breast shape may also create an unbalanced or disproportionate appearance, compared to the expected teardrop or round shape of a breast implant.

Moreover, the nipple’s position may change as the implant descends lower on the breast mound, causing it to point upward rather than forward or centrally.

Therefore, it is essential to any changes in breast shape and nipple position after breast augmentation surgery, as this can help identify bottoming out early. If you suspect bottoming out, it is best to consult with a plastic surgeon at Centre for Surgery promptly to determine the appropriate course of action to address this issue.

Breast Implant Settling vs Bottoming Out of Breast Implants

It is crucial to understand that breast implants’ shape and position can change over time, even after surgery. However, it is important to differentiate between normal settling of breast implants and bottoming out, which is a more severe issue.

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Breast implant settling is a common occurrence and typically happens a few months after surgery. During this time, the implants will gradually adjust and settle into their final position within the breast pocket. Initially, you may notice some swelling, making your breasts appear larger and more projected than the final result. However, this is entirely normal, and your surgeon will likely caution you to expect some settling.

In some cases, your surgeon may even place your implants slightly higher than what you think would be ideal. This strategy is to allow the implants to settle into a natural position on your chest wall over time, rather than drooping too low and causing bottoming out.

It is also important to maintain a balance between the upper pole and lower pole of the breast implants to achieve a desirable breast shape and projection. This balance is key to achieving the best possible result from breast augmentation surgery.

However, there are limitations to a successful outcome from breast implant surgery, such as skin strength and elasticity. If you have weakened internal structures, such as atrophy, you may be at higher risk of bottoming out, which is a more severe condition that requires medical attention.

Therefore, it is crucial to monitor your breast shape and position after and seek medical advice if you have any about settling or bottoming out. Your surgeon can provide guidance and Keravive Hair Treatment options to address any issues and ensure the best possible for your breast augmentation procedure.

Why does bottoming out of breast implants occur?

Bottoming out of breast implants is a issue that can occur due to reasons. The key risk factors for bottoming out include skin condition, ptosis, and pocket placement.

If your skin lacks the necessary elasticity to accommodate a larger size implant, it may lead to bottoming out. Similarly, if you have drooping skin and nipple position, a may be necessary to prevent out.

The pocket placement, which refers to the size, shape, and position of the implant by an inexperienced surgeon, can also contribute to bottoming out. If the implant is placed too low or not adequately supported, it can bottom out.

Bottoming out is characterised by several symptoms and signs, including a stretched distance between your nipple and inframammary fold, downward bulging of the breast tissues, and upward-pointing nipples. If you notice any of these symptoms, it is essential to seek a proper review and assessment by your plastic surgeon.

Self-assessment is not recommended, as other factors may be impacting your results. Your can assess the cause of bottoming out and provide the appropriate treatment options, such as , to address the issue and prevent further complications.

Bottoming Out vs Breast Sagging – Key Differences

It is essential to between bottoming out and normal breast sagging (ptosis), which can occur with age, pregnancy, weight loss, and .

is characterised by a drooping or sagging appearance, often due to a lack of skin elasticity, and the breasts may appear empty or deflated. The nipples typically point downward in this condition.

In contrast, bottoming out occurs when the skin cannot the size or position of the breast . In this condition, there is an imbalance of upper/lower pole projection (volume), causing the bottom of the breast tissue to bulge downward. The nipples may appear to point upward in bottoming out.

It is important to note that bottoming out is typically due to breast tissue laxity, which is a loss of skin elasticity. This issue may arise if too large an implant size is chosen, which the skin cannot . In some cases, a smaller implant size and/or breast lift may have yielded a better and longer-lasting result.

Can Breast Implant Bottoming Out be Corrected?

Yes, out can be corrected through revision breast surgery. The typically involves exchanging the implants and using to lift the breasts and nipples to their proper position.

Corrective surgery for out may sometimes a two or three-step process. In some cases, the breast implants may need to be removed, and the breast pockets given time to heal. Afterwards, new may be reinserted, but additional precautions may be needed to support the implant’s weight properly.

An implant size adjustment may help reduce the future risk of bottoming out. However, if you have loose or low skin collagen, leading to a loss of skin elasticity, you may need to consider other options, such as or a breast lift with or without implants.

It is important to with a skilled and experienced plastic surgeon at Centre for Surgery to discuss the best treatment options for your specific situation. Our surgeons can evaluate the cause of out and develop a personalised treatment plan to address the issue and prevent future .

Top Tips to Minimise Risks of Implants Bottoming Out

Reducing the risk of bottoming out after breast implant surgery is essential to ensure a successful outcome. Bottoming out occurs when the breast implant moves below the natural or the crease beneath the breast, to an imbalance in the upper and lower pole projection. This complication can occur due to various factors such as skin laxity, implant size and placement, and surgical technique. Minimising the risk of bottoming out requires a multi-faceted approach that includes careful planning, choosing the right surgeon, and following proper postoperative care. By taking these steps, you can minimise the risks and achieve excellent results from your breast augmentation surgery.

To minimise the risk of bottoming out, here are some detailed steps that you can take:

with extensive experience in breast augmentation surgery is crucial. The should evaluate your specific skin condition risks and help you select the right implant size, shape, and placement to achieve your aesthetic goals while minimising the risks of complications.

Understanding your body’s natural anatomy and potential risks is essential to reducing the risk of bottoming out. If you have a history of breast skin laxity or stretch marks, your surgeon should be informed to evaluate the risk of bottoming out.

Your surgeon should discuss the different implant placement options with you and evaluate your suitability for each option. Sub-muscular implant placement may reduce the risks of bottoming out for some patients, while others may benefit from sub-glandular .

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Different types of implants, such as silicone or saline implants, have different properties that can affect the risk of bottoming out. Silicone implants are generally less dense than saline implants and may potentially be less likely to lead to bottoming out. Additionally, choosing a lighter or smaller implant can help reduce the risk of bottoming out.

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Choosing an appropriate implant size that is proportionate to your body frame and breast tissue is crucial. Very large implants on a small frame can place unnecessary on your supporting breast tissues, leading to bottoming out. Your surgeon should guide you in selecting the right implant size to minimise the risks of complications.

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Some surgeons may use internal bra techniques such as acellular dermal matrices (ADM) or other supportive suturing to reduce the risk of bottoming out. The downsides are that these techniques are expensive.

Anchoring sutures can be used to secure the deep connective of your breast area to the connective tissues of your chest wall. This creates a temporary barrier as the implant is healing and may help reduce the likelihood of the implant migrating too far downwards.

Capsular adherence and implant texture can affect the risk of bottoming out. Some implants may have a higher degree of adherence to internal tissues due to shell texture, which may help hold implants in position if the skin is lax.

Following your surgeon’s postoperative instructions is crucial to ensure proper healing and minimise the risks of complications. This may include wearing supportive garments and bras, strenuous activities, and attending follow-up appointments.

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Why choose Centre for Surgery for Revision Breast Surgery?

Centre for Surgery is a renowned plastic surgery clinic in London that specialises in a range of cosmetic and reconstructive procedures, including revision breast surgery. We have a team of experienced and highly skilled plastic surgeons who are dedicated to providing our patients with exceptional care and .

Here are some why you should choose Centre for Surgery for revision breast surgery:

Call or fill in the form below. A patient coordinator will call you within one working day to book your consultation with the consultant best matched to your enquiry.

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