Breast Implant Revision Q&A
86%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
153 Reviews
Breast Implant Revisionbefore & after photos
View Before and Afters

Average Breast Implant Revision Cost: $7,100

Learn about Breast Implant Revision

942 people and 512 doctors are talking about Breast Implant Revision

Get Free Email Updates

Need To Redo BA w/ Silicone After Bottoming Out, Any Advice? (photo)

asked 5 months ago by crisrosas
Latest answer by Richard Baxter, MD
Question viewed 1,098 times
Tags: 2 months post-op, bottom out, high profile, inframammary, options, submuscular

I had my BA two months ago. (330, silicone, super high profile, submuscular, infra) Now I know my breasts have bottomed out. The doctor said he would expand the pocket (upper pole) and he could take some skin bellow the niples too. Since the silicone is lower than the position it should be, if takes off this skin, the breast will go down instead of the silicone going up, Am I wrong??? What should be done so it would look better??

4 answers to Need To Redo BA w/ Silicone After Bottoming Out, Any Advice? (photo)

+1

Advice for correcting bottoming out implants

There are many factors that can contribute to implants bottoming out, which is when they settle too low. What all factors have in common is that the tissues on the lower part of the bresat are not adequate to support the implants. Paradoxically, going under the muscle can make it worse since the muscle pushes down from above but doesn't add support from below. What I see in the pictures is a very tight skin envelope relative to the size of the implants so it will be wise to heal some... more
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Revision breast augmentation

Thanks for the question and the pictures. It appears that you have bottoming out and this requires surgical intervention to repair. In addition to suture techniques which close the inferior aspect of the pocket to push the implant back up into its proper position, I often use Strattice. It's a collagen matrix that provides a great deal of strenght to the repair. You may want to wait a few months to allow for the swelling to decrease a little more, and the capsule to... more
David L. Kaufman, MD

Folsom Plastic Surgeon
+1

Bottoming out

The photos are not that conclusive, but if you do have bottoming out, then the support along the fold has been compromised and would need to be corrected often with suture techniques and capsule manipulation.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Bottoming Out Correction?

Thank you for the question and pictures. Bottoming out involves inferior migration of the implants. This causes the nipple areola complex to appear too high on the breasts. Also, the distance from the areola to the inframammary fold is too great. In my opinion, bottoming out his best corrected by “raising” the inframammary fold using internal sutures ( interior capsulorrhaphy). This is done after careful measurements are made from the areola to the “new”... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Ask a question