After Correcting Bottoming out? (photo)

Can a crease be created below the breast after correcting bottoming out to help hide the scar?

Doctor Answers 13

Bottoming out

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I do not correctly understand your question but I would not advise you to have another scar placed for this correction

New York Plastic Surgeon

Correction of Breast Implant Bottoming Out and Hiding Scar?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question and picture.  I am a little unclear as to whether you have already undergone surgery to correct the bottoming out or not but I will do my best to answer question.

You will very likely find that the current scar will be better “hidden” after correction of the breast implant mount position (bottoming out). In my practice, the breast implant malposition would be corrected using internal suture  repair of the breast implant pocket (capsulorraphy).

Unfortunate, it is very difficult to create a  natural looking “crease” surgically. It is not an operation I would offer to you.

For more precise advice, consider sending additional pictures taken further away with your arms by your sides.

 You may also find the attached link helpful to you as you do your research.

Best wishes.

Creating Inframammary Crease

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I definitive crease is difficult to create if none was there to start. You would be best with implant repositioning by a lower capsulorrhaphy. This will lower your scar to a better level on the breast mound curve. Regardless, the scar will fade for the better for up to a year.

Scott R. Brundage, MD
Grand Rapids Plastic Surgeon
4.8 out of 5 stars 27 reviews

Incision and location on breast

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I think that the scar in the lower breast or by the crease is ok.  In the crease, it may show in a bikini.  The scar should fade with time.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

High Lower Pole Breast Implant Scar

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Without changing the position of the breast implant, the location of the scar can not be moved into the inframmary crease position. Moving the scar into the fold will push the implant upwards. The scar is very noticeable now because it is very red and immature but time will help that considerably.

Hiding the breast scar

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The scar stands out because of its red color. That is typical of an early scar. Within a few months that will change to a thin soft white line and no surgery will be necessary. For questions regarding shape of the breast you will need level front and side photos.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 29 reviews

Bottoming out after #BreastAugmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Without a frontal photo it is impossible to know if you are truly bottomed out or if this was an incision placed too high. With bottoming out, this can be corrected, however if the incision was merely placed too high on the breast, there is little that can be done to correct this. 

Best of luck,

Vincent Marin, MD
San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 52 reviews

Correction of Bottoming out

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for your question.

From the picture you have given it is difficult to determine if you have bottoming out.  A staight-on picture would better show whether bottoming out exist.

That said, when correcting bottoming out, it is possible to move that scar into the fold or closer to it.  This skin has been stretched and the scar rides higher onto the breast. 

Best wishes,

Brian Joseph MD FACS

Brian Joseph, MD
Orlando Plastic Surgeon
4.8 out of 5 stars 52 reviews

Breast fold after bottoming out

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is possible to set the breast fold when there has been bottoming out, however the goal of correction is centering the implant in the breast and holding it there. The photo you set shows a common occurance of the inframmary incision riding up under the breast despite placement in the breast fold. This is not bottoming out as such, just an incision that is a bit too high in planning.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Bottoming Out

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The short answer is yes.  An inframammary fold can be moved and corrected with a procedure called, capsulorrhaphy.  Not all plastic surgeons master this technique, make sure the surgeon is experienced in this procedure and breast revision surgery in general.  In your case, I need to see both breasts straight on.  In the end the goal is to have both breasts as even as possible. So the answer to your specific question is maybe and quite possibly. But you need to examined and ultimately weight the risks and benefits.  Good Luck!

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.