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Inferior Malposition Lower malposition of the implants happens when the device migrates down, making the breast augmentation result too low on the chest wall and breast crease (inframammary fold). Lower Pole Stretching Lower pole stretching is observed when the breast implant stays in the correct position, but the skin at the lower part of the breasts stretches significantly. Lateral Displacement Lateral implant malposition occurs when the implants fall too far to the side when the patient lies down. Many women complain that their implants feel like they slide into their armpits when they lie down. This can be due to over-dissection of the lateral breast pocket or stretching of the breast skin over time. Bottoming out is more common in periareolar (around the areolae) or endoscopic trans-axillary (through the underarm) techniques where the dissection is directed towards the breast fold making weakening of the fold more likely. Specifically in the trans-axillary approach, the breast fold is lowered so that bottoming out is an even greater possibility. Check out our blog: 3 Signs You Need New Breast Implants