What is the Chance of Bottoming-out with Implant Via the Nipples?

asked 5 months ago by anon
Latest answer by Robert N. Young, MD
Question viewed 108 times
Tags: bottom out, frequency, reasons, statistics, technique

9 answers to What is the Chance of Bottoming-out with Implant Via the Nipples?

Breast Implants Bottoming-Out

Implants can bottom out no matter where the incision is done. The forming of the pocket more likely determines bottoming out.

Robert N. Young, MD
San Antonio Plastic Surgeon

www.dryoungforever.com

Bottoming out of implants

Bottoming out of implants can occur from any approach to place implants. It usually occurs with over dissection of the inframmary fold and sometimes in patients with poor tissue quality with large implants that stretch the lower portion of the breast. Donald R. Nunn MD Atlanta Plastic Surgeon.

Donald Nunn, MD, DDS
Atlanta Plastic Surgeon

What is the Chance of Bottoming-out with Implant Via the Nipples?

It can happen with any incision used however I personally think it is more possible with an infra-mammary incision due to the possible disruption of dermal attachments to the chest wall. I use the underarm approach almost exclusively and I RARELY see implants drop too low. I am also of the opinion that most women need their fold lowered to get the implant centered under the nipple but we do tend to use a bit bigger implant here in Scottsdale too!!!

John J. Corey, MD
Phoenix Plastic Surgeon

Bottoming out

Bottoming out of an implant means that the implants descends low on the chest and below the breast crease. This can give the appearnace of upward pointng nipples in some patients. If the implant comes out from the nipple incision, that is an extrusion and the implant needs to be removed.

Steven Wallach, MD
Manhattan Plastic Surgeon

Bottoming Out of Breast Implants

"Bottoming out" happens when the implant drops below the breast crease. The incision location does not contribute to bottoming out. If adjustments are made to the crease, or if the crease is not well formed, bottoming out may happen.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Botto

Thank you for the question. As the other surgeons have noted, the incision really has nothing to do with bottoming out. The factors that you should discuss with your surgeon include your starting anatomy, implant size and sometimes implant type.

Peter A. Lennox, MD
Vancouver Plastic Surgeon

Breast implants bottoming out

Bottoming out occurs when the implants go below the inframammary crease which is nature's best barrier to implant descent inferiorly. Occasionally, the crease needs to be lowered because of your starting point but this should not be done routinely if possible. Some patients also have a very vague poorly made natural crease and this increases bottoming out risks. The incision really has nothing to do with it. I advise my patients to wear a custom fit underwire... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Bottoming Out of Breast Implants?

Thank you for the question. One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla). Bottoming out involves inferior migration of the implants.... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

"Bottoming-out" is related to the pocket position, not the incision choice!

"Bottoming-out" occurs when breast implants end up positioned too low compared to the nipple/areola complex. This can occur when a woman's implant pocket is created too low, regardless of the incision used to make the pocket. When the implant position is too low related to the nipple/areola complex, the nipple appears too high on the breast mound, but the cause is the same regardless if the patient thinks her nipple(s) are "too high," or her implant(s) "too... more