495cc, HP, are my implants bottomed out? Nipple seems to sit high to me (Photos)

Question

I had a revision capsulorrhaphy done in April after exchanging old implants 2 years ago. I made it known I had issues the first time around with not much tissue to my surgeon. He seemed to overlook that and I am still unhappy with my current look. My implants feel super bottom heavy and uncomfortable. I inquired about mesh and he disregarded it saying he did it with sutures? would mesh material have helped to achieve more fullness & less discomfort? implants are 495cc HP. thank you!!!

Gerald Minniti, MD, FACS · Answer

I'm not sure if you are just going back out fishing for more answers from a wider group of surgeons or you haven't seen my reply, but mesh would have saved you the repeat drop out and those hypertrophic scars.

Connie Hiers, MD, FACS · Answer

Yes, you have some bottoming out with these implants. Yes, you probably now will need mesh for better support. You do need to go down in size since your tissue is not supporting the weight of these heavy implants.  Your implants are just too large for you.

Camille Cash, MD · Answer

It's difficult to tell from the angles of the submitted photos but it is possible you are beginning to bottom out.  This can be categorized by the nipple shifting upward and the bottom portion of the breast being notably fuller than the upper portions.  It is possible that mesh can assist in preventing this.  Another suggestion in prevention is selecting smaller implants as the weight of the implants can add to the risk of bottoming out.

Darryl J. Blinski, MD · Answer

The posted photos are at such oblique angles. It’s hard to get a good view of your breast. Best virtual consult with. Potential mesh use with revision of implants. Fee $10,000-$20,000. Best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

Your breast look great and I think you should be happy with the outcome. Attempting to close the pocket with mesh is a big undertaking and I don’t see a good indication for that type of procedure at this time.
I suggest leaving good enough alone and recognize the positive aspect of the outcome.
Best,
Mats Hagstrom MD

495cc, HP, are my implants bottomed out? Nipple seems to sit high to me (Photos)

Answers (5)

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