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How Quickly Does Bottoming out Usually Occur? Is the Breast Secure Once the Capsule Has Formed?

asked 3 months ago by BCkittin in Surrey, BC
Latest answer by Steven Wallach, MD
Question viewed 97 times
Tags: bottom out, capsule, risk

bottoming out, capsule, breast augmentation, breast lift

6 answers to How Quickly Does Bottoming out Usually Occur? Is the Breast Secure Once the Capsule Has Formed?

+2

Bottoming out of implants

Bottoming out is variable and this is because the size and weight of the implant can vary and the patient's skin and breast tissue may be either thin and relatively loose or tight. The development of the capsule may or may not affect this bottoming out process. In some patients the capsule is very thin and offers not resistance to the force of gravity. In other patients the capsule can be very thick and can even close off the lower portion of the implant pocket- moving the implant in an... more
Jon F. Harrell, DO

Miami Plastic Surgeon

www.westonsurgery.com

+2

Breast implants

Bottoming out can occur as quickly as a few months to a few years after surgery. It all depends on the patients breast tissue and skin elasticity. It is also impossible to accurately predict who will get it and who won't. Weight loss and pregnancy after augmentation can bring it on faster in those who have stretch prone tissue, and there is not much that you can do to prevent it if it's going to happen. Larger implants, greater than 350 cc, can increase the risk in those types of... more
Simona V. Pautler, MD

Pittsburgh Plastic Surgeon
+1

Bottoming out

Bottoming out with implants can happen with time or soon after surgery. This may be the result of violation of the inframammary fold or stretching of the soft tissues with time.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Bottoming out

Bottoming out refers to excessive stretching of the skin and breast tissue of the lower part of the breast essentially from the nipple level to the level of the inframammary fold. This will occur more in patients with poor tissue elasticity and in patients with larger implants which tend to weigh more and put greater strain on this tissue. It is important to wear a well supportive, preferably underwire, bra after a breast augmentation to help support the weight of the implant... more
Ralph R. Garramone, MD

Fort Myers Plastic Surgeon
+1

Bottoming Out of Breast Implants?

Thank you for the question. Generally, breast implants will fully “settle” and be in a stable position anywhere from 6 months to one year after surgery. Generally, if implant malposition ( Including bottoming out) is going to occur, patients will see it within this time frame. In the longer term, breast implant malposition is still possible. This may be related to the effects of time, gravity, skin elasticity issues, weight gain and... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Bottoming timing is varible

The timing can vary, but most likely not to happen after a couple of years and the capsule thickness does contribute to preventing this unsatisfactory result. As your know, bottoming out is when the implant slips below the natural fold underneath the breast. It can happen from over-dissection by the plastic surgeon or a heavy implant in a patient with very thin and inelastic skin. Placement of implant underneath the muscle can also help prevent this problem. ... more
Robert Morgan Davoudi, MD

Atlanta Plastic Surgeon

myatlantaplasticsurgeon.com

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