Update to my question: What procedure works for bottoming out and capsular contracture?

Photo as requested. "I went from an 34A to 34C (325cc) Medium Profile. Post op I noticed the left was dropping far quicker than the right breast. Dr advised that everything was in order and both breasts may not drop together. It has dropped by 3cm compared to the right breast. The implant moves to the side of my body when I lie down and can feel the implant through my skin. The right side breast is smaller, sits a lot higher and is hard. What would be the best way to rectify this?"

Doctor Answers (4)

Strattice for bottoming out and contracture

+1
Strattice is a material used for an internal bra, and is very helpful in supporting implants that have dropped or move too far to the side. It is also very effective at preventing capsular contracture, so it may actually be the answer for both of your problems. With contracture, usually the scar capsule is removed, so there is less coverage of the implant. Using Strattice adds the coverage and support back in addition to helping prevent recurrent capsular contracture.


Seattle Plastic Surgeon
5.0 out of 5 stars 28 reviews

Bottoming out?

+1
Solely based upon the photo, it looks like the breast on the your left( right side of photo) has bottomed out compared to the one on the opposite side. You probably will need a pocket adjustment to fix this.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Update to my question: What procedure works for bottoming out and capsular contracture?

+1
Although accurate advice would necessitate in person examination your picture and  description are helpful.  Based on this information, you are likely dealing with a breast implant encapsulation on your right side;  treatment may involve capsulectomy and/or the use of acellular dermal matrix. On your left side, it is likely that you are dealing with breast implant displacement/malposition; treatment would involve internal suture repair ( capsulorraphy) of the inferior and lateral breast implant pockets. You may find the attached link, dedicated to revisionary breast surgery examples, helpful to you. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

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Left breast implant dropping

+1
This is discussion even at our plastic surgery meetings.  First in my opinion, your left (photo) breast implant sits closer to where it was meant to be.  The photo right is too low and has bottomed out.  The star gazing nipple tendency is an indicator of the center of this implant below the nipple complex.

An inferior capsulorhaphy can fix this and if needed change to a textured implant and this will likely not occur again.

Peter J. Capizzi, MD
Charlotte Plastic Surgeon
5.0 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.