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Currently 375 Mod+ Saline Wanna Switch to 500 HP Silicone, Do I Run Risk of Bottoming Out?

asked 6 months ago by DollyMonroe in Paramus, NJ
Latest answer by Randy Proffitt, MD
Question viewed 275 times
Tags: bigger, bottom out, risk

I have 375cc mod+ put me at a small D cup! i started with a small B & a 3" gap in between clevage area i figured the bigger the size the gap & breast would come together so i figure going 475cc & up would help? Also couple months after Aug i went to my post-op and doctor told me im bottoming out&will have stitches placed beneath to fix them So considering to go larger as well will the lift help bigger implants to stay up on smaller frames or bottom out again? Is implant weight the cause?

12 answers to Currently 375 Mod+ Saline Wanna Switch to 500 HP Silicone, Do I Run Risk of Bottoming Out?

Large implants can cause bottoming out

Improper inferior dissection causes 'bottoming out'. Heavy implants expidite this. Trying to increase cleavage by replacing implants with larger size will not work. Larger implants will only make things worse in the long run by stretching your tissue out; making correction more difficult. Your PS will need to plicate laterally as well as inferiorly to make the pocket smaller so that implants are pushed medially (towards center). I've achieved this... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

Weight is one part of the bottoming out process

Hello, If you have bottomed out with 475 cc implants, larger implants will put you at risk for additional bottoming out even with repair of the pocket. You are running a higher risk of needing additional surgery to re-repair the pocket with bigger implants. Might be wise to consider repair of the pocket while at least maintaining your current implant size. All the best, Dr Repta

Remus Repta, MD
Phoenix Plastic Surgeon

Larger implant will exacerbate bottoming out

True bottoming out is usually caused by stretching of the lower pole skin. A larger implant will exacerbate this. It is also possible that the inframammary fold attachments have been disrupted and there is a fold malposition. If this needs to be repaired, a larger implant can adversely affect the repair. in my opinion high profile stretch the tissues more than lower profile implants and will exacerbate all of these issues. Please remember to send us photos... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

Bottoming out

Your surgeon has the answer for the bottoming out part. To help the cleavage by moving the implants more medial can be done with more dissection medially. To still keep the implant centerd behind the nipple may require an implant with a wider diameter. This can be done with either a bigger implant or lower profile.

Randy Proffitt, MD
Mobile Plastic Surgeon

Increased Risk of Bottoming Out?

Thank you for the question. It is not possible to give you precise advice without direct examination. Based on your description of body type and the size of the implants are contemplating you are at risk for further complications. Correction of the “bottoming out” will likely require permanent suture repair (capsulorraphy) and/or the use of allograft. Use of a larger implant will stress this repair. I would suggest consultation with well experienced... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Gap Between Breasts

A common misconception is that if you get larger implants the space between the breasts will be narrowed and better cleavage will be achieved. Unfortunately, for the most part, this isn't true. The medial boarder of the breast or the edge of the breast closest to the breast bone is anatomically defined. This means that the tissues are structurally attached to the chest wall at their specific location. For some women the breasts are very close together. For... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Implants and bottoming out

If you have issues with bottomong out, going larger is not necessarily a good thing. In fact, you may want to place smaller ( lighter) implants in after the fold is fixed.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast Implant Size

Without seeing you in person or examining you or photos, it is very difficult to give you specific advice. So, you should seek a consultation from a board certified plastic surgeon. The size of implant that you can accomodate really depends on your anatomy, your skin thickness and your expectations of look and feel (fake versus natural). In our office we can perform imaging and show you approximations of what your final result will look like back on specific implant sizes.... more

David Shafer, MD
New York Plastic Surgeon

Technical Details of your Options Requires an Exam

Hi there- It would be impossible to makd detailed recommendations for the management of your situation without knowing you and your goals better and performing a detailed in-person examination of your breasts. Please visit a surgeon Certified by The American Board of Plastic Surgery with a lot of experience in Breast Surgery.

Armando Soto, MD
Orlando Plastic Surgeon

Currently 375 Mod+ Saline Wanna Switch to 500 HP Silicone, Do I Run Risk of Bottoming Out?

Very difficult to gibve accurate advise over the internet. Best to obtain a few opinions from boarded PSs in NJ. I think your doc has a good idea.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Implant size

Choosing mplant size is a battle between doing what you want and doing what is safe. The rule I have is use the smallest implant that will make you happy and start with the implant size and dimension that fits your breast. Even without examining you, I can suggest that starting with a small B, the 375 cc. implant is already bigger than fits your natural breast so going larger will incur more problems in the future. Robin T.W. Yuan, M.D.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

500 cc breast implants are really too big for most women.

Hi. 1) Very large breast implants will not bring your breasts closer together. That depends on your anatomy and on how the surgery is done. Also you will look fake. 2) Very large breast implants do not cause bottoming out (that also depends on how the surgery is done), but they can certainly make the problem worse. 3 Also you want to think about the future. Very large breast implants stretch out your tissues and age very badly. see video