How to Prevent Breast Implants from Bottoming Out?

Is there any way to prevent a breast implant from bottoming out? Will I have to worry about this the rest of my life? Will I not be able to wear thin bras? Thank you.

Doctor Answers (8)

Bottoming out and prevention

+2

“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 excellent tresults in the correction of “bottomed-out implants.  the risk of bottoming out can be lessened by correct pocket dissection


Las Vegas Plastic Surgeon
5.0 out of 5 stars 41 reviews

Bottoming out

+2

Bottoming out cannot be completely prevented.  Most times it happens early on because the fold was violated.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 16 reviews

Don't bottom out

+2

The only thing you can do to avoid bottoming out is probably for your breast aug to be done by the most qualified individual in your market ... an ABPS Board Certified Plastic Surgeon.

Outside of that, there's no bra that'll stop the drop if the job was poorly done. If the implant is really, really big and you're really, really tiny, the chances of bottoming out are greater. It's not clear to me if you've had surgery yet or not. If you've not, then the only indicator that I've seen in patients preop is if they have stretchmarks and signs of very lax tissues within their breasts, the chance of bottoming out is higher so the surgery needs to be tailored for your body to avoid this problem by limiting the release of tissues inferiorly.

If you've already had the procedure and they're starting to bottom out, then you may be dealing with the inevitable, but there's no harm in using a good supportive bra all the time to stretch it out as long as you can. For this there are new products available but that's a whole other topic.

Ricardo A. Meade, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 49 reviews

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Preventing breast implants from bottoming out

+1
Well, first and foremost, the surgeon should use breast implants that are of an appropriate size and shape for a patients starting point. See link to my breast augmentation before and after gallery  Overly large implants frequently over time will stretch out the skin and the soft tissue of the lower pole allowing the implant to descend and create that bottomed out appearance. Some patients need to have their inframammary fold lowered in order to achieve an aesthetically ideal implant position, and that is another setting that creates some risk of, over time, a bottomed out appearance. There are things that can be done, however, in the setting of intentional lowering of the inframammary fold to prevent that outcome. One important thing to do is to use an inframammary fold incision, and at the end of the procedure, after the implants are placed an anchoring suture can be placed to secure the deep connective tissue of the skin to the connective tissue of the chest wall. This creates at least temporary barrier as the implant is healing reducing the likelihood of the implant settling over time. Another important thing to consider is implant selection when you are lowering the inframammary fold. Currently implants are available with a high degree of capsular adherence to the implant surface. If the capsule that your body forms around the implant becomes adherent to the implant surface, then this will help it to remain positionally stable over time. 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 38 reviews

Bottoming out breast implants may be a problem

+1

Bottoming out is a problem sometimes seen in patients who receive breast implants that are too large for their breast and these women often have excess breast skin. Selecting the correct size, shape, and position of the implant can help prevent this problem.

Mark Deutsch, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 11 reviews

Bottoming out implants

+1

First and foremost you should chose an experienced board-certified plastic surgeon to care for you.

Your plastic surgeon will examine you and help you make a determination as to what size/style/type of implant will suit you best for your tissues and what you are trying to achieve.

Implants can thin the tissues of the lower breasts so the larger the size the chose, the higher the risk of this is.

Dr Edwards

Michael C. Edwards, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 11 reviews

Breast implants and bottoming out

+1

I am not completely sure what you mean when you say "bottom out". If you mean sag, yes they can, just like our natural breasts do. This tendency to sag is affected the size of the implant, the natural genetic tendency we have for either tight or loose skin and our natural aging process. By selecting smaller size implants, you will do less damage to your tissues. Wearing a bra is extremely helpful for everyone. It helps prevent the breast skin and tissues from stretching out.

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
5.0 out of 5 stars 17 reviews

True "Bottoming Out"?

+1

There is confusion over the term "bottoming out" as it may refer to inframammary fold overdissection or overstretching of the lower pole of the breast. Prevention or correction depends upon whether surgery is primary or revision and skin quality. Some complicated revisions may need Strattice (pig dermis) or human equivalent. We use bra support after these revisions to aid healing. I am not sure whether wearing a bra past the initial healing period really prevents any of these issues.

Jason Pozner, MD
Boca Raton Plastic Surgeon
4.5 out of 5 stars 25 reviews

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.