I seem to be bottoming out on my right breast - is a capsulorrhaphy necessary? (Photos)

Question

11 weeks post op. My surgeon said she opened up that right side more to even out my nipples during surgery. I went to see her a few days ago and she said to wear a supportive bra until healing completes and that I do have a slight bottoming out but doesn't think it will get worse, but said if I wanted to go back in for a capsulorrhaphy it would be an additional 6500. I just paid 10,000 11 weeks ago. Is this necessary? Should I be worried this will progress? I'm very stressed.

Wess Cohen, MD · Answer

Thank you for your question. You’re right breast is slightly lower and more lateral than your left breast.Your breasts were very asymmetric before the operation. Your surgeon made significant improvements. It is still arguably too early to undergo a revision. Air vision would consist of tightening the capsule. Good luck.

Daniel Barrett, MD · Answer

Dear Monique037,
bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery.
Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies.
If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You are still early in the healing process and I suggest wearing an underwire bra to give more inferior support. At 6 months when healed, then discuss your concerns with her.

Kenneth R. Francis, MD, FACS · Answer

Dear Monique,
Your breast augmentation surgery was fairly recent.  So, your implants have not yet found their final resting place and your capsules have not yet completely formed.  These facts may change the way your breasts look 3 months from now.  Follow your plastic surgeons instructions and be patient.  Your result looks pretty good right now.  If that implant further "bottoms out," you may require a capsulorrhaphy.  Surgeon policies on revisionary surgery fees vary widely.  Good luck!

I seem to be bottoming out on my right breast - is a capsulorrhaphy necessary? (Photos)

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I seem to be bottoming out on my right breast - is a capsulorrhaphy necessary? (Photos)

Answers (4)

Answer: Breast implant settling

Answer: Breast implant settling

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.