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Neo-subpectoral Method Vs Capsulorraphy for Bottomed out Breasts?

asked 2 years ago by imnyc in New York
Latest answer by Steven Teitelbaum, MD
Question viewed 853 times
Tags: breasts, bottom out

Hi Doctors, Could you tell me the difference between the two methods to correct bottomed out Breast implants? Neosubpectoral vs. capsulorraphy?

Whether one method entails the other? What is the most effective way to correct a bottomed out situation? Thanks.

4 answers to Neo-subpectoral Method Vs Capsulorraphy for Bottomed out Breasts?

+2

Here's the difference...

With a capsulorraphy, the implant is replaced into the pre-existing pocket. The front wall of the pocket is sewn to the back wall along the plane you wish the implant to sit. With a neosubpectoral pocket, a new pocket is dissected in front of the front wall of the capsule around the implant, stopping where you want the new inframammary fold to be. Since a portion of this dissection is behind the muscle and is a new space, it is called "neo subpectoral" or "neo... more
Steven Teitelbaum, MD

Los Angeles Plastic Surgeon
+2

Bottoms up

Bottoming of implants as an unfortunate issue and a difficult one to address, especially if they are longer implants. Commonly this is the case as bottoming out happens somewhat more often with larger implants, but the patients tissue characterstics also play a role. Both of the methods you have described try to achieve a common goal, to raise the IMF or breast crease. Neither one is perfect and 100%. The best method to really fix a bottomed out breast is to remove the implants and... more
Farbod Esmailian, MD

Orange County Plastic Surgeon
+1

Correcting bottoming-out (methods and surgeon selection)

Imnyc: In short neither method has been shown to be more effective at correcting bottomed-out implants. Both attempt to overcome gravity and the pre-existing situation. The neo-subpectoral method typically creates a new space just superficial to the prior expanded lower pole space and sutures the old one down. The capsulorraphy is a more widely done method in which the normal scar capsule around the implant is sutured to itself and the chest wall fibrous tissues to re-define the desired... more
Sutton Graham II, MD

Greenville Plastic Surgeon
+1

Bottoming out

Bottoming out presumes that the implants have displaced too low on the chest in relationship to your breast tissue and requires repositioning of the implant higher. This may or may not be the case and other causes can mimic this clinical situation including poor choice of implant size or poor dissection of the pocket originally. If you do need to place the implant higher this requires reproducing a new inframammary fold. This can be done by opening up the capsule and suturing the bottom... more
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

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