How to Fix Slight Bottoming out Due to Over-dissection?

It's been 8-9 months since my BA. From the first day of surgery my left breast was always bigger and lower. Can you please tell me how my doctor can fix my breasts unevenness? If he fixes the left breast by stitching it up to raise it, will that last? Will it reoccur again? I have been very unhappy and now worried that fixing the left one is no guarentee. So should I have him fix the left one or the right one to make then even? Which way is the right way to fix my problem? Please advise.

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A to C cup 350-399cc bottom out

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9 Doctor Answers | Asked by peach75 in san jose, ca

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Inferior capsulorrhaphy

This is a very straight forward fix for plastic surgeons who specialize in revisionary breast surgery. It would require an inferior capsulorrhapy (suturing the pocket) and a mirror image superior capsulotomy. I have written two papers on this topic. The surgery takes about 45 minutes and the recovery is minimal.

Breast Asymmetry after Breast Augmentation

It is almost never possible to have complete and absolute symmetry after breast surgery, especially if you have asymmetry prior to surgery. Having said that, you can always have your breast infra-mammary fold raised with a revision breast augmentation surgery such as capsuloraphy. You need to know that this revision will not guarantee to completely correct this asymmetry since scarring during the healing period can affect surgical outcome.

How to Fix Slight Bottoming out Due to Over-dissection?

Dear peach75, I am sorry to hear about your concerns. The left breast inframammary fold appears to be a little low, causing the implant also to sit low. A breast implant revision with capsulorraphy to raise the inframammary fold should fix the problem. I would discuss your concerns with your surgeon. Warmest wishes, Larry Fan, MD

Repair of the bottomed out breast implant

You photo shows very clearly the low breast implant on the left side, with the point of projection below the nipple, the left nipple appears higher than the right. The pocket is 'over dissected' and because the cause is evident, repair of the fold is the correct solution. If we were to get fussy, the left implant could be a bit smaller as well, though the repair of the fold should be stable and effective, and fix your problem. Best of luck, peterejohnsonmd more

Correcting breast asymmetry

The left breast fold appears lower than the right which also makes the distance from the fold to the nipple longer on that side. Corrective surgery to raise the left fold is possible through a number of techniques. Manipulating the current capsule about the implant and essentially placing the implant in a new space yields good results. There are also dermal grafts which can be used to recreate/restore the fold to the desired position. I would encourage you to return to your surgeon and... more

Asymmetric folds under the breasts

Peach, If there is asymmetry of the folds under the breast they can be improved with either suturing inside the pocket or on occasion a material can be used called acellular dermal matrix (Strattice) but it is not typically required for a first time repair. I would discuss your concerns with your plastic surgeon where you can come up with a plan together. It does appear to me that elevating the left fold will give the best aesthetic result. I hope this helps Dr Edwards more

Bottoming out correction

I would suggest repair of the left inferior breast capsule with permanent internal sutures (capsulorrhaphy). This involves removal of a segment of breast implant capsule among the inferior/lower aspect of the left breast implant pocket. The 2 edges of capsule tissue are sutured to one another with permanent suture. This procedure reduces the size of the implant pocket and prevents the descent of the implant on the left side. This procedure will improve the symmetry of the breasts... more

Breast asymmetry

If you look at your pre-ops, the left is a bit lower to begin with. Each breast is always a bit different. If you want the asymmetry adjusted, a capsulorrhaphy can help.

Steven Wallach, MD

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Manhattan Plastic Surgeon

You can get revision to fix the implant position

Your had transaxillay augmentation and it is very common to get uneven breast implant position. You had problem with your inframammary fold position before surgery on the left and implant has made it worse. you will need revision with inframammary incision and pocket revision.