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How to Prevent Breast Implants from Bottoming Out?

asked 2 years ago by Chloe_Conway in St. Louis, MO
Latest answer by W. Tracy Hankins, MD
Question viewed 2,818 times
Tags: breasts

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.

7 answers to How to Prevent Breast Implants from Bottoming Out?

Bottoming out and prevention

“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... more

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon

Bottoming out

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

Steven Wallach, MD
Manhattan Plastic Surgeon

Bottoming out breast implants may be a problem

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

Don't bottom out

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 more

Ricardo A. Meade, MD
Dallas Plastic Surgeon

Bottoming out implants

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
Las Vegas Plastic Surgeon

www.medwardsmd.com

Breast implants and bottoming out

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.... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

True "Bottoming Out"?

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... more

Jason Pozner, MD
Boca Raton Plastic Surgeon

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