Will permanent stitches correct bottoming out?

Hello,Thank you for your question. Repairing and reinforcing the implant pocket with a capsulorraphy procedure could be done with permanent or dissolvable sutures. Your Plastic Surgeon will have assessed your tissue and determined if that approach will be sufficient and strong enough. You may need to wear a specific surgical bra post op and will need to follow post op instructions carefully.All the best

Implant displacement, or malposition, can be corrected with a variety of options - including stitches (capsulorraphy), mesh support, capsular flaps, changing implant plane, etc. Options can be used alone, but are often used in combination. I have found that combining techniques proves to be more effective in offering long-term support than any one technique alone. Implant size may also have to be considered - a large implant will weigh heavily on any repair intended to reinforce the lower breast fold. All the best.

The type of suture is not that important in these situations.  The repair of the inframammary fold has to be adequate but some surgeon's use dissolvable sutures that work just as well.   You need a strong repair that will hold until the capsule reforms in the proper location and bottoming out will be avoided. 

Bottoming out of an implant is very often repaired with permanent sutures in various techniques utilizing the capsule for strength.  This is called a capsullorhaphy or internal bra.  There are some patients who need more than this type of repair and will require some added material to support the implant.  Make sure that your board certified plastic surgeon is comfortable performing revisions since not all surgeons are adept at it.  I hope this helps.

Hello, inserting permanent or slowly-dissolving sutures along the lower fold of the breast is one way to correct bottoming out.  There are other options like temporarily removing the implant and allowing the breast to heal, inserting the implant into a different pocket, using a special material to act like an internal sling, etc.  They all have different advantages and disadvantages so your surgeon will be your best source of advice, based on your unique anatomy and problem.

Using sutures and taking advantage of your lower capsule will really help you improve your results.  You will do well.Best Wishes,Nana Mizuguchi, MD

Often a capsulorrhaphy alone or stitches within the capsule can improve bottoming out. I like to have patients wear a special bra after the procedure as well.

Done well, this can be a good solution. It also depends on the "quality" of the deeper tissues. If these are thin and weak we sometimes need to add a supporting "dermal substitute" material to create an adequately supportive and secure "sling" for the implant to sit on.

Sometimes the breast ligaments are weak and this can be due to thin tissues and also multiple pregnancies and putting in permanent sutures can help correct this.

I am sorry that you are having issues about your procedure and
thanks for sharing your question. I can appreciate your
concern.

Yes. permanent stitching is a good way to control breast pockets that have gone too far. 

Your Doctor is taking the correct
steps. Have an open conversation with her/him, as you progress with your
surgery.

Wishing you the best in your journey