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I Had a Lift/Augmentation 7 Months Ago, Now I Believe I Bottomed Out. What's Your Opinion? Do I Need Strattice Repair? (photo)

asked 4 months ago by alfg in New City, NY
Latest answer by Ronald J. Edelson, MD
Question viewed 391 times
Tags: 7 months post-op, 250-299cc, bottom out, opinion, repair, strattice

I received a lift and breast argumentation June 3 2011. I received 275 cc of silicon in each. However, I feel I am bottoming out. I nursed two children up to 2 years and feel my skin has lost its elasticity. Do you typically pay extra for this repair? Do you think I need the strattice repair?

14 answers to I Had a Lift/Augmentation 7 Months Ago, Now I Believe I Bottomed Out. What's Your Opinion? Do I Need Strattice Repair? (photo)

Breast implant bottoming out

The simplest solution to your problem is to remove the implants and have the lift revised. Your breasts will certainly be smaller, but I think they will still be a nice size. More importantly, they will have less of a tendency to bottom out and the result will hold up better over time.

Ronald J. Edelson, MD
San Diego Plastic Surgeon

Recurrence of skin laxity over time the rule

Thank you for your question and the photos. From what you describe and show your results do look good. You may still have some laxity of your skin and may benefit from some additional tightening. Return to see your surgeon to discuss the options/possibilities of revisions or further surgery. Also, be informed the if you nursed two children and had a lot of excess/lax skin, that recurrence of skin laxity is the rule and not the exception. Breast lifts do not last forever and the weight... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

I Had a Lift/Augmentation 7 Months Ago, Now I Believe I Bottomed Out. What's Your Opinion? Do I Need Strattice Repair? (photo)

The posted photos show a slight loosening inferiorly. I recommend you consider a revision lift first before use the acellular dermal mattrices, very expensive.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast surgery fees

In can be difficult to measure out the amount of skin to be removed when doing a breast augmentation and lift together. Frequently some minor revision is necessary to fine tune the result but that is much better than if the surgeon took out too much skin the first time. In some cases the skin just stretches even if the surgeon took out sufficient skin the first time. In either case your best and cheapest option is to return to your original surgeon. You will need to pay some costs out of... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Breast Augmentation Mastopexy

It appears you have had a breast lift / mastopexy along with your breast augmentation. It has been reported in our journals that the lower incision of the mastopexy will increase in length or stretch a full inch during the first six months following the mastopexy. The angle of your 2-day post op photo versus the current photos at seven months is slightly different. The reason patients have a breast lift in the first place is because they have "stretchy"... more

Joe Gryskiewicz, MD
Minneapolis Plastic Surgeon

Bottoming out?

Your photos are not ideal to really comment because they were taken at an unsual angle. However, it looks like you just may have some rebound laxity of the lower pole. This may just require a revision to tighten the envelope. Good luck.

Steven Wallach, MD
Manhattan Plastic Surgeon

Strattice internal bra for stretched out lower breast

When the length from the nipple to the bottom fold of the breast elongates, it is often called a stretch deformity although calling it a deformity is probably too strong a term. Although no one can make a definitive recommendation without seeing you personally, issues such as this are the types of things that a Strattice internal bra corrects nicely. It is caused by the tissues not being strong enough to support the implants and breast tissue, so a revision of the lift... more

Richard Baxter, MD
Seattle Plastic Surgeon

Did I Bottom Out after Breast Lift & Augmentation

Overall, your results look nice but the lower skin may have stretched a bit. If you don't like the result, your surgeon may offer a revision but given how large your breasts are, I suspect the improvement may not last long.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Lost elasticity, or bottomed out

We cannot see the breast fold well, however the long nipple to fold distance suggests laxity in the breast envelope rather that a low or bottomed out breast implant. Reducing the breast envelope through a second mastopexy, perhaps a 'T' pattern, might hold the breast firmer and higher. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Solutions for breast dropping after surgery

The shape evolution of your breast after surgery is quite common and is often unpredictable. Your tissue (breast tissue and skin) has stretched in response to the tension that was created purposefully in the operating room to improve your shape. Even though the implant size was appropriate for your breast the additional weight of the breast implant likely contributed as well. Simply re-tightening your breast with a revision of your breast lift will create short term improvement... more

Mathew C. Mosher, MD
Vancouver Plastic Surgeon

www.drmosher.com

Bottoming Out?

I agree that your issue appears to be due to heavy excess breast tissue and relaxing of the skin envelope rather than implants bottoming out. A revision to the lift will improve this, but you still may have some recurrence of the laxity due to the quality of your tissue.

Donald Griffin, MD
Nashville Plastic Surgeon

Bottoming out of your lift or of your implants

It is hard to tell without a physical exam, but to me it looks like your breast tissue has bottomed out, not your implants. Many times if there is breast tissue that is "out of place" and you don't remove the excess tissue, it will simply bottom out once the skin envelope gives way. If this is the case, and you like the size that you are now, you would need to reduce the skin envelope, remove the excess breast tissue in the lower portion of the breast, and make the... more

Dan Mills, MD
Orange County Plastic Surgeon

www.danmillsmd.com

Breast lift Results?

Thank you for the question and pictures. I do not think you necessarily have “bottoming out” of breast implants. It seems like you still have significant excess skin envelope that can be tightened further ( revision mastopexy surgery) if you choose. You made the diagnosis itself when you discuss your loss of skin elasticity. Discuss your concerns with your plastic surgeon. Best wishes

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Bottomed out implants or sagging breasts?

It doesn't look like your implants have bottomed out because they don't seem to be going below the creases. Rather, it looks like your breast tissue has relaxed after the lift and might need to be tightened. This may just happen again because when you need a lift, you don't have great skin elasticity. Also, in your kind of case, a full upper pole look from the implants isn't usually possible as the implants won't stay up like they would in someone... more