I would like to know if I am bottoming out and if so, if its worth fixing? (photo)
Doctor Answers 11
Implant bottoming out over time
Based on your photographs, it appears that your implant has descended and has become a bit too lateral as well (also known as bottoming out). The decision to undergo revision is yours to make. Your implants may drop more, and no one can predict this (or not). I believe you would benefit from revisionary surgery, by either placing sutures to lift the capsule (capsulorraphy) or by placing an internal support system (mesh versus dermal matrix), or a combination of both. Seek a board certified plastic surgeon to help you achieve the look you deserve. Best of luck to you...
Implants bottoming out?
I am not sure if I would call it bottoming out, as I think of bottoming out as a process over time where the implants descend to a point lower than intended, with resultant consequences.
I do see that the implants are lower than ideal, and so I guess one could say that they have bottomed out. Although this is obvious on front view, the quarter views demonstrate the bottoming out most (IMHO).
I think that correcting the malpositioned implants will not only give you a greatly improved aesthetic result, it will also take care of the problems you have identified.
I don't believe that the "fix" should be that hard and the recovery should not be bad. I would hasten to add that malpositioned implants does occur from time to time. If you have trust in your surgeon, he should be the one to address the issue.
Finally, the issue of if it is "worth it" is totally subjective and only you can answer that. For me, I would, and I would not wait too long to do it. Not an emergency, but better to get it over and done with, or, accept the way it is.
All the best.
Thanks for your question! Based on your photos, it does appear that you are in fact bottoming out a little; however, the decision to revise this is up to you. I've certainly seen worse in my largely cosmetic breast practice. I would bring the concern up to your plastic surgeon. You may need a capsulorrhaphy and capsulotomy in the future to move the implants more up & in; however, I think that your volume looks good. Best of luck!
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I would like to know if I am bottoming out after breast augmentation?
I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation.
In my practice, this type of repair involves a two layer, permanent suture repair (reconstructing the inframammary fold areas). Sometimes, depending on the clinical situation and history, the use of additional support materials such as acellular dermal matrix or biosynthetic mesh is also helpful. The good news: with a well executed procedure, an outcome close to your goal photographs is achievable. Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with this type of revisionary breast surgery. Key will be: your surgeon's experience level, careful execution of the procedure, careful attention to postoperative care/activity restrictions. I hope this, and the attached link (dedicated to corrective surgery for bottoming out concerns), helps.
Bottoming Out after Breast Augmentation #breastaugmentation #breastimplants
- Your implants have bottomed out on both sides.
- They may not migrate much lower over time.
- The decision to undergo revisional breast surgery is yours to make, of course.
- Another operation would be required, and internal sutures would be placed to help raise the fold beneath your breasts.
- Thanks for sharing, and sorry to hear that this has happened to you.
Breast Implants Bottoming Out
Is "bottoming out" worth fixing?
Is my implants bottom out
Bottoming out? And if so, if its worth fixing?
In determining whether it's worth fixing, that's probably a a personal choice and one only you can make.
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.