Breast Implants: Q&A

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What Does a Surgeon Do to Correct Bottoming Out?

What does a surgeon usually do to correct bottoming out from Breast implants? I am very scared of the pain and I'm going through another operation.

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5 Doctor Answers | Asked by kaseysmummy in england

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Suture placement to correct bottming out

“bottoming out” is the term used to describe the condition which occurs when the breast tends to look as if it has descended on the chest wall after previous surgery, whether the surgery involved implants, a lift, or a reduction. In the case of “bottomed out” implants, sutures can often be placed in the lower pole of the breast to re-elevate the breast on the chest wall. This is called a capsullorraphy and can achieve excellt results in... more

A new breast fold needs to be created.

Hi. I answered your other question. The revision breast augmentation creates a new higher fold under the breast with internal sutures. It doesn't hurt much at all.

Capsule repair details

The repair of a bottomed out implant is not easy. The implant needs to be removed and the extra capsule lining removed. The pocket needs to be checked to be sure there is room for the implant to move back up. Stitches are placed between the skin and the chest wall to create a new cease and block the descent of the implant again. External underwire bras are worn 24/7 for 8 weeks and all exercises that might make the repair break down are avoided. Almost always this works well. Good... more

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Involves reinforcing your breast fold

The bottoming out of breast implants does happen and the treatment for it is to reinforce the inframammary fold - otherwise known as your breast fold. The weight of the implant now being supported by the skin below the fold can cause pain and discomfort which should get better after the surgery. The general idea is to elevate the fold back to its original position - either with permanent sutures and/or use of a skin substitute (the most commonly know one is Alloderm but any one of them... more

Not truly "bottoming out"

I wouldn't call this bottoming out. Your implants are in a good position on your chest. There is a contour irregularity on the right side, likely caused by a constricting band of muscle or scar tissue. This can be released, likely through the same incision. Good luck!

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