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Will Breast Lift Solve Bottoming out / Too Large Implants?

asked 1 year ago by jojosmith in england
Latest answer by Tom J. Pousti, MD
Question viewed 498 times
Tags: age 18-24, breasts, female, 5 ft 0 in to 5 ft 3 in, bottom out

just over 2 years now and iv got a problem iv got bottoming out of both breast and they have become very very saggy. i asked for a DD enlargment and got G-H breasts. Iv got no right nipple function or sensation on the lower part of my breast. the surgeon has reconmend a breast lift with a smaller implant. iv been looking and found i would like a medical cleavage and upper pole fullness with high profile implant im 22, uk.8 up top 10 bottom half. im 5.3 can someone help please? thank you.

14 answers to Will Breast Lift Solve Bottoming out / Too Large Implants?

Correction of Bottoming Out?

Thank you for the question. Although not possible to give you precise advice without direct examination or viewing pictures, I think you may benefit from downsizing of breast implants, breast lifting, and possible capsulorrhaphy ( internal sutures used to close off the breast implant capsule). In-person consultation with well experienced plastic surgeons will be helpful. Ask to see lots of examples of the surgeons Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

SEE VIDEO BELOW: Options for treating bottomed out and lifted breasts

In order to minimize the risk for recurrent bottoming out, you will likely need an inferior capsulorraphy with or without acelllular demal matrix and consideration of smaller implants. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Bottoming out solutions?

Jojosmith: Were your implants placed "on top" of the chest muscle? Were they saline or silicone? Smooth or textured? "Bottoming out" is generally defined as an elongation of the distance between the nipple and the inframammary fold (junction of the breast with the chest wall). The nipple progressively points upwards or "stargazes". Correction of this condition is difficult and can include downsizing the implant, converting it to... more

Lavinia Chong, MD
Orange County Plastic Surgeon

Bottoming out affect

Bottoming out represents too much implant in the lower pole of the breast and a pocket that is too large in the lower pole. You want more upper pole fullness and a nice cleavage. Your cleavage will be defined by the diameter of the implant. A higher profile implant will have a more narrow diameter, thus giving less cleavage. If the implant is smaller this also narrows the breast and results in less cleavage. In your case a significant resection of the... more

Talmage J. Raine, MD
Chicago Plastic Surgeon

Long term consequences of large breast implants

Unfortunately, you are seeing the long term effects of an implant which may be too large for you body. I agree with a much smaller implant and a breast lift.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Implants and lift

Yes, the larger the implants the more likely sagging will come into play over the long haul. A lift and smaller impalnt may be the solution.

Steven Wallach, MD
Manhattan Plastic Surgeon

Large Breast implants = Breast Sagging

All women would like having large breasts with cleavage that would stay perky forever. Unfortunately that is a physical impossibility. Gravity always wins and the more weight is piled into the breasts, the faster they will sag. To correct matters it is reasonable to reduce the volume of the implants and to lift the breastsalthough in the absence of examining you much less seeing a photograph it is hard to specifically address your situation. Good Luck. Dr.Peter A. Aldea more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Seek consultation with a local plastic surgeon

Your problem is not rare and surgery can help. You may require a breast lift (mastopexy) and reduction of your current implant size. Unfortunately, your sensation and nipple function may not return. You should fully discuss your options with a local plastic surgeon, including implant type, scar location and expected results.

David J. Levens, MD
Coral Springs Plastic Surgeon

Revision of bottoming out after breast augmentation

Bottoming out may occur when the weight of the breast stretches out the skin and causes an unattractive protrusion of the lower aspect of the breast. Without photos, it is difficult to assess exactly what the problem is in your particular case, and hence the best surgical correction. Breast lift will reposition the breast tissue and also allows removal of any excess skin from the inferior aspect of the breast.

Olivia Hutchinson, MD
New York Plastic Surgeon

Breast Revision Surgery and Breast Lift

Difficult to say without photos, but it does sound like a reasonable plan. I would say that the fold would need to be recreated, a much smaller implant placed and perhaps a lift done. But we really need to see photos to comment completely. Bottoming out of breast implants is more common when very large saline or silicone implants are placed. Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Will your body allow you to get what you want?

Often times, the breasts and body won't allow you to get exactly what you want. Going with big implants only increases the risks of complications and without photos, I can't answer whether the result you currently have will be improved with a lift or whether you also need a fold reconstruction.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast lift will help bottomed out breast implants.

Hi. It sounds like you need repair of the folds under your breasts to prevent new bottoming out along with a vertical (lollipop scar) breast lift and smaller implants. That's the plan. You also need very well done surgery. Consider getting another opinion.

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast lift will help "bottomed out" implants

Large breasts (either natural or from an implant), are more prone develop pseudoptosis or bottoming out. A breast lift using (I use a LeJour) a lollipop-shaped incision can be used to remove the excess lower pole skin and get the new and hopefully smaller implants higher up on the chest wall, and usually more towards the center. In addition, I often find it necessary to put internal sutures in the old breast pocket because it is too roomy and stretched out from the prior... more