Does bottoming out implants hurt?

Pain or discomfort. Breast implant bottoming out signs include discomfort in the lower breast, especially if it is accompanied by an increase in pressure on the lower chest.
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What does bottomed out implants look like?

The term bottoming out refers to breast implants that have descended too low on the chest. The breast implants usually drop below the natural breast crease, which gives them an appearance of being bottom heavy, while the nipple appears to move up.
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How long does it take for implants to bottom out?

There are many different factors in play depending on the types of cosmetic surgery procedures you have. Give it time and know that most women are happy with their breast appearance by 6 weeks after surgery. One breast may settle before the other. This is normal and is nothing to be concerned about.
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How do you know if you are bottoming out?

A bottomed out breast implant is typically characterized by one or more of the following symptoms:
  1. Nipples point upward.
  2. A patient can feel the implant at the bottom of the breast.
  3. Increasing distance between the nipple and the breast crease.
  4. Excessive fullness or bulging in the lower portion of the breast.
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Can you feel your implant at the bottom of the breast?

In thin people, the implant edges can be seen under the skin. It is normal to feel the implant edge at the side and bottom of the breast.
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**IMPLANT ISSUES** Double Bubble OR Bottoming Out? | Brown Plastic Surgery



How do you prevent implants from bottoming out?

Implant Placement

Placement of the implant under the pectoral muscle rather than on top helps support and keep the implant in proper position. When breast implants are placed on top of the muscle rather than submuscularly, bottoming out is more likely.
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How do you know if your implants have dropped?

Signs that your silicone implant has ruptured can include changes in breast shape and size, and increasing pain, firmness, and swelling over a period of weeks. Rupture can also cause capsular contracture. Silicone implant rupture that doesn't cause any noticeable symptoms is known as “silent rupture.”
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How do you know if your breast implants are bottoming out?

Signs your implants may have bottomed out

You have lost volume in your upper breast and gained it in your lower breast. Your implants have moved further down your chest below your inframammary folds. This tension may also cause your inframammary folds to move up your chest wall. One nipple sits higher than the other.
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Why does my breast implant hurt when I lay down?

Capsular contracture The most common problem, capsular contracture, occurs when scar tissue, or a “capsule,” forms around an implant and becomes so tight it causes pain. Scar tissue forms whenever implants are surgically placed under breast tissue of chest muscle.
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How do surgeons fix bottoming out?

When it happens, the only option for correcting bottoming-out of breast implants is through revision surgery. In rare cases, this means removal of the implant and months of recovery and tissue regrowth before any cosmetic procedures can be done to correct breast shape and size without the implant.
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Why does my breast implant feel like it's in my armpit?

Breast Implants Can Shift In a Variety of Ways

With lateral breast implant displacement, your breast implant or implants move towards the armpit and this is sometimes uncomfortable for the patient.
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Can breast implants hurt years later?

Within two years of having silicone breast implants inserted, women reported experiencing signs and symptoms of connective tissue disease such as increased muscle weakness, fatigue, and muscle and joint pain. These symptoms may explain the chronic pain that is being experienced.
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How are implants supposed to look when lying down?

The implants should stay in the center of the chest and not flop to the side or move up. The breast should retain a lot of its fullness and not flatten too much when lying down.
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What causes implant to bottom out?

The most common cause of bottoming out is a lack of elasticity in the breast tissue due to dramatic weight loss, pregnancy, and nursing, or natural aging. In some cases, however, patients experience a breast implant bottoming out because they chose the wrong size implants for their body type.
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When does bottoming out occur?

Bottoming out occurs when the implants slide below the lower part of your breasts, causing them to settle too low on the chest. This can happen gradually over time or right after your breast augmentation surgery.
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Why does my breast implant hurt?

In theory, breast implants can hurt at any point in time following surgery. Immediate pain is often the result of the procedure itself and your body healing the skin that was cut and adjusting to the new addition to your body. However, as time goes on, you could experience other complications and pain.
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What happens if you don't replace breast implants?

They can rupture or leak, and saline implants may deflate. Capsular contracture may also occur, which is shrinkage of natural scar tissue that your body produces around any implanted medical device. This may result in firm or hard breasts or a deformity which you can feel or see.
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How much does it cost to remove breast implants?

How much does breast implant removal cost? The average cost of breast implant removal surgery is $3,049, according to 2020 statistics from the American Society of Plastic Surgeons.
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How often should breast implants be checked?

You should always follow your plastic surgeon's guidelines for annual checkups, as well as performing regular self-checks. If you have silicone implants, the FDA recommends getting an MRI three years after the initial surgery and then every two years after that.
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Why is my breast implant throbbing?

Burning sensations, pain or changes in breast appearance may be a sign that your implant ruptured. The painful feelings are most commonly associated with silicone implants, while sudden size changes are more prevalent with saline. You may have this problem immediately following your procedure or years down the road.
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How do you tell if implants are under the muscle?

There is a simple test for this. If you place your hands on your hips and press inwards this contracts the muscle of your chest. If the implants are behind the muscle the top of the implant will flatten. If they are over the muscle the breast implants will not flatten because they are not being squeezed by the muscle.
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Which is better over the muscle or under?

The under the muscle or submuscular approach involves placing the implants below the chest muscle. This is usually a good option for women with little native breast tissue, as the muscle offers greater coverage. The results tend to look more natural than breasts that are placed above the muscle.
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Is it better to put an implant over or under the muscle?

Over the Muscle Placement

Placing implants over the chest muscle is a slightly easier procedure with a slightly shorter recovery. Women who have implants placed over the muscle tend to have less post-operative discomfort because the chest muscle is not manipulated during surgery.
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Will under the muscle implants get bigger?

A common misconception many women have is that breast implants placed under the pectoralis major muscle will get bigger once they drop and settle. The truth is that they won't, implants don't change size. They do however change size because you eventually lose the post-surgery inflammation and swelling.
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