Small B Placed 375/380cc Mod+ Salines & couple months was diagnosed with Bottoming out of both implants, was told to come for a revision along with switching to a 450/475 Silicone implants in mind. im currently 100lbs 5'3 with about 27in ribcage id say im like mary kate&ashleys frame but less tall. will goin up 100ccs be a good idea to place when i fix the bottom out? On small frame w/ thin skin would size be a big difference or problems? This is stressful but im happy to get as much help :)
Bottomed out with 375 Salines Would Going 100cc's Larger Make a Diiference And More Revisions if Im Diagnosed with Thin Skin?
Doctor Answers (22)
Bottomed out Breasts will NOT benefit from going larger
The fundamental problem, which is a poorly dissected implant pocket, will remain, but will now be further complicated by a larger and heavier implant.
This may look better initially, but is doomed to fail over the longer term.
Your best bet is to correct the fundamental problem- the implant pocket itself.
Saline implants bottomed out
As a rule saline implants are heavier and have more of a tendency to bottom out than gel implants. Having said that I would not advise changing to even larger gel implants. This will only aggrevate the situation. An inferior capsulorraphy may be helpful. If, at the same time, you would like to change to gel implants consider going to a smaller volume than you currently have. This better increases your chance of having a long term satisfactory result.
Breast Implant Revision - Bottomed out with 375 Salines Would Going 100cc's Larger Make a Difference?
It's difficult to say without photos or an in-person examination but I would be concerned that going 100 cc larger would make the situation WORSE. You first have to try figure out why you have bottoming out - it may be a question of how the pocket was made, what you looked like before, what your tissue is like, or any combination of those and other factors. Repairing the anatomy may not be that simple but may include the addition of an Acellular Dermal Matrix (ADM) to help support the lower portion of the pocket. You could also consider switching to textured implants to help "hold" the position but that may not be adequate and, if you do have thinner skin, then that may not be advisable. In short, you may need more than just switching implants, and going larger may bot be a good idea.
I hope that this helps, and good luck,
You might also like...
Will Larger Implants Fix Bottoming Out?
Correction of bottoming out
At this point, I would worry much less about changing the size of the implants and be concerned more about the loss of support to the current implants. There are several ways to correct this, but this usually involves more than simply tightening the capsule around the implant. Therefore I would be suspicious of any surgeon recommending a simply change in the size of the implant or a minor revision of the capsule.
Thin skin & tissue stretch
Think of a ball inside a sock. A lighter ball isn't going to stretch out the sock as much as a heavier ball would.
If your skin is thin and stretchy, you want to avoid things that would make it more prone to fail. Don't go to a larger size - if anything, you may want to downsize to a smaller & lighter implant.
Consider repairing the pocket with sutures or reinforcing the skin with Strattice. Expensive, but it works.
All the best,
The bigger they are...
You know how the saying goes. Putting in larger (i.e. heavier) implants will only worsen your bottoming out and tissue thinning. The "revision" might help the bottoming out, depending on what the plan of the "revision" is, but larger implants are likely to compromise that as well. Be sure that you are in the hands of a plastic surgeon certified by the American Board of Plastic Surgery before proceeding. Good luck!
Exchange of implant for bottoming out
Breast Implant Revision?
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 board-certified plastic surgeons with significant experience doing revisionary breast surgery.
I hope this helps.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.