I Bottomed-Out My Breast Implants – Here’s What I Wish I Knew Beforehand

I Bottomed-Out My Breast Implants - Here's What I Wish I Knew Beforehand

There’s a lot to consider before getting breast implants – from the size and shape of your implants to the type of implants (saline or silicone) and incision site. But one thing that’s often overlooked is the risk of bottoming out.

If you’re considering getting breast implants or have already had them placed, it’s important to be aware of the potential risks and complications. For example, one of the less-talked-about problems is bottoming out, where the implants sink lower than they should. It occurs when the implants drop lower than they should and can cause a host of problems, including pain, loss of nipple sensation, and an unnatural appearance.

What Does "Bottom Out Breast Implant" Mean?

Bottoming out occurs when the implants drop lower than they should. This can happen for a variety of reasons, but usually, it’s due to the implants being too big for the pocket created during breast augmentation surgery. The implants can also bottom out if the pocket is too shallow or if the tissue is too thin.


The most obvious symptom of bottoming out is a change in the shape of your breasts. Instead of being round and perky, they may look droopy or saggy. You may also notice that your nipples are pointing downward instead of upward. Additionally, you may experience pain in your breasts or see rippling or creasing on the skin.

What Causes My Breast Implants to Bottom Out?

Bottoming out occurs when the implants drop lower than they should in the breast pocket due to poor implant placement, weight gain, pregnancy, and aging. When the implants drop, they may become visible below the nipple or even begin to protrude from the chest, causing a number of issues, including pain, loss of sensation in the nipples, and an unnatural appearance.

What are the Breast Implant Bottom Out Signs?

There are several key signs to look out for that may indicate your implants have bottomed out. Firstly, you may notice that your breasts are drooping more than before, causing a volume loss in the upper breast, upward-pointing nipples, and a double bubble deformity.


Additionally, you may feel pain in your breasts or around your incisions, increased pressure in your chest, and rippling or wrinkling in the skin over your implants. 

It is important to remember that these symptoms may occur months or years after receiving implants, so it is important to monitor yourself over time. If you notice any of these symptoms, it may be salutary to make an appointment with your plastic surgeon for a thorough examination. If necessary, surgery may be performed to remove the implants and replace them with smaller ones or other options, such as saline or silicone gel implants.

How to Prevent My Breast Implants from Bottoming Out

There are a few things you can do to avoid bottoming out. First, make sure you select a reputable surgeon with hundreds to thousands of breast augmentation procedures on record. Second, communicate your goals and expectations with your surgeon before surgery. Third, follow your surgeon’s post-operative instructions carefully. Finally, consider choosing implants filled with cohesive gel, which is less likely to leak or collapse than other implants.

Are Bottomed-Out Breast Implants Painful?

In some cases, bottoming out can cause pain and discomfort. In others, it might not be painful at all but can still lead to an unattractive appearance. Pain is our body’s sign that something is wrong, and consulting with your surgeon can help determine the cause of the pain and settle on a treatment course. Either way, it’s something you should be aware of before going under the knife.

Who Can Fix My Bottomed-Out Breast Implants?

It’s not uncommon for breast implants to bottom out, especially after pregnancy or weight loss. So, if you’re considering augmentation, it’s important to be aware of this possibility and understand what can be done to fix the problem.


There are a few options available to women who have bottoming-out implants. The first option is implant replacement, usually the simplest and most effective solution, requiring another surgery. Another option is to undergo a revision surgery, which can involve correcting the position of the implants or adding support to the implants themselves. This option is often recommended for women who have had previous surgeries or who have very large implants.


If you’re considering implants, it’s essential to talk to your plastic surgeon about your options and make sure you understand the risks involved. Breast implants can be a great way to enhance your aesthetics, but they’re not suitable for everyone. Be sure to do your research and make an informed decision before undergoing any plastic surgery procedure.


It’s imperative to see your plastic surgeon as soon as possible if you suspect that your implants have bottomed out. They will be able to assess the situation and determine whether you need additional surgery to correct the problem. In some cases, plastic surgeons can simply reposition implants without entirely removing them. However, you may need to have your implants removed and replaced with new ones in severe cases.

Let Dr. Chang Restore Your Breasts to Their Pristine Beauty!

Are your breasts bottomed-out and ready for a revision procedure? Come meet with us at Aesthetica Cosmetic Surgery and Laser Center for a complimentary consultation before moving forward with surgery! Board Certified Plastic Surgeon Dr. Phillip Chang will determine if you are a good candidate for these procedures. If everything matches up, our team will help you navigate the entire process, from beginning to the end! Also, don’t forget to check out our blog for more information on plastic surgery trends!

NOTE: We don’t take insurance or work with insurance companies. Patients pay for the surgery upfront and we provide them with a superbill, and other documents they may need to apply for reimbursement.

Let Us Help You!

Our office can provide you with helpful information, schedule a free consultation, and walk you through the many services and procedures we provide.

Contact Dr. Chang's Office:

More Articles For You

5 Things To Know When Considering Breast Implant Removal

Getting breast implants is a huge deal for women! Many women enjoy their new breasts and how they provide a better outlook on themselves and their bodies. However, it may not be the case for everyone. Some women who get their breasts done may feel like this decision is irreversible and are stuck with them for the rest of their lives. But this is not true! If you are unhappy with your implants, you can enlist the help and expertise of a Board-Certified Plastic Surgeon like Dr. Phillip Chang for a breast implant removal procedure!

Read More »

FAQs on Thigh Lift Procedure: Why You Should Consider It

Thigh lifts are becoming a more and more popular procedure. More and more people are looking to get surgery to improve the appearance of their thighs. If you’re considering a thigh lift, you may have some questions about the surgery. What is a thigh lift? What are the risks? What are the benefits? Here at Aesthetica, we will answer all of your FAQs about thigh lifts!

Read More »

Male Liposuction: The Benefits and Why You Should Consider It

Liposuction is a type of cosmetic surgery that removes fat from the body. It’s often used to improve the appearance of the belly, love handles, and thigh area. It can also be used to treat some medical conditions, such as lymphedema.
The procedure is usually performed under local anesthesia, which means you’re awake but don’t feel any pain. Recovery time is usually short, and most people return to their normal activities within a week.

Read More »
Breast Implant Illness: What You Need To Know

Breast Implant Illness: What You Need To Know

Women who self-identify as having breast implant illness report a variety of symptoms post-breast augmentation. They say their breast implant illness symptoms have affected their lifestyle, jobs, and relationships. What is breast implant illness? Know here…

Read More »