The information in this section is made available through the generous support of Dr. Grant Stevens and Dr. Luis H. Macias
The term "bottoming out" applies to any situation where the lower part of the breast comes down with loss of fullness in the superior part and a relative appearance of the nipple moving or pointing up. This can be seen post op in Breast Reduction, Breast lifting, or Breast augmentation. In actuality the NA complex probably does not move very much, but the underlying breast tissue shifts lower. When this happens it appears that the nipple is pointing up and when seen from the side there is too much breast below the NA and not enough fullness above. Sometimes, this develops because of the surgical technique, sometimes it is a reflection of poor elasticity of the patient's skin, sometimes it is caused or at least made worse by gravity.