Bigger Breast Implants Required After Bottoming Out?

Do I have to go bigger in breast implant size after bottoming out becuase the breast pocket is too large?

Tags:

breasts bottom out

Comment on this

8 Doctor Answers | Asked by Gingercat in seattle,wa

Doctor Answers (8)
Community Comments (0)

Correction of Bottoming Out?

Thank you for the question. Correction of “bottoming out” of breast implants does not necessarily involve use of larger breast implants. One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or... more

Larger Implants and Bottoming Out

Generally speaking, when someone has bottomed out, you try not to add any more weight to the area. The pocket has been stretched, but instead of trying to fill the entire pocket, the goal is to repair the pocket and secure everything internally. Sometimes, this actually means decreasing the size of the implant so that there is not as much weight on the inframammary fold area. Adding a larger implant would merely serve to add more stress to the inframammary area. more

Bottoming out

Bottoming out occurs when the implant falls below the natural breast fold. This can be caused by heavy implants. I would not recommend larger implants this may just make it worse.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

The POCKETS of the breast implants need to be repaired for bottoming out.

Hi. When bottoming out occurs after breast augmentation, the implant pockets are too low and need to be reconstructed. The size of the breast implants is not the problem.

Usually smaller breast implants after bottoming out, if anything

Hello, Usually, the solution is a pocket repair of some sort and replacement of implants that are usually smaller. Larger implants will probably have the tendency to make the repair fail. Weight is the traditional cause of the "Bottoming out." More weight is usually equal to more problems.

Repair of Bottoming out

No that is not the solution. What needs to be done is a capsulorrhaphy and placement of a smaller implant. Otherwise the implant needs to be remove and the capsulorrhaphy before, which is repairing the stretched out part of the crease and then later coming back to place an implant. Good luck.

Not the solution

Placing larger implants is not the solution to repair bottoming out. The pocket that has stretched on the bottom needs to be repaired internally and going with too large of an implant after that repair can over tax the internal suturing possibly making it recur. Dr Edwards

Do not use a larger implant - the bottoming out will recur

Time, weight and gravity are not on your side. It makes no sense to go to a larger size. Your bottoming out problem will only recur at a potentially faster rate than the first time. If anything a smaller implant is indicated, take the excessive weight off of your skin. This is the etiology of the problem in the first place. Your soft tissue just can not support the excess weight.