Is Explantation the Best Option for Bottomed out Implants?

asked 2 years ago by djokondata in Europe
Latest answer by Tom J. Pousti, MD
Question viewed 617 times
Tags: breasts, 350-399cc, bottom out, explant, plastic surgeon

I had 2 failed bottoming out and lateral displacement revisions. My Breast Implants are 350cc. The problems is in the first surgeon, not implants. My second surgeon attempted everything: sutures, implants replacement, but all failed again.

Do you think that after 1 year my damaged breast tissue will be total healed and ready for augmentation with happy ending?

My surgeon wants to explant, to make a capsulotomy and rolling the capsules to create new folders, then I need to wait 1 year to heal and then reimplant.

Please, help me! Thank you in advance!

5 answers to Is Explantation the Best Option for Bottomed out Implants?

Breast explantation for bottomed out implants

As one who never saw ANY of your photographs, never examined you, either now or before you had all these operations and had not stood in the footsteps of either one of your plastic surgeons, my response MUST be generic in nature. From :: "Do you think that after 1 year my damaged breast tissue will be total healed and ready for augmentation with happy ending? My surgeon wants to explant, to make a capsulotomy and rolling the capsules to create new folders, then I need to wait 1 year to... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Explantation to treat Bottoming Out?

Thank you for the question. Your surgeon's recommendation is certainly one option that may achieve your goals. The other option is capsulorraphy with or without the use of allograft along with immediate reaugmentation of the breasts. I hope this helps.

Tom J. Pousti, MD
San Diego Plastic Surgeon

Ttreatment options for bottom out breasts

IT sounds as if your current surgeon has a sound surgical plan to treat and manage the bottomed out breasts.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Options for "bottoming out"

Explantation with interval maturation of a reinforced inframammary fold, as you describe, is a conservative approach, which can't really be criticized. However some women are unwilling to wait a full year, at least in this country. A novel approach, which is still in its infancy, is the use of ADMs (acellular dermal matrices) to recreate the inframammary fold and support the implant by providing an inferolateral "hammock", which is sutured to the base of the... more

Lavinia Chong, MD
Orange County Plastic Surgeon

Repair bottoming out

Without knowing exactly what the other surgeons did for you, I can not tell for sure what to do for you. But, usually explantation is not necessary to fix bottoming out. Usually reconstructing or repositioning the fold is all you need done.

Steven Wallach, MD
Manhattan Plastic Surgeon

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