Have my breast implants "bottomed out"? What do I do next? (Photo)

Question

I am 20 years old, no kids, or bad medical history. I received a breast lift + implants Back in July 2023. While everything was perfect the first 1-2 months post opp. I was struggling to like them after the implant dropping. I was told I need to proceed with a mesh bra / scar revision. With this being extreme in my opinion I chose to do other consultations on how to proceed. Now i feel like I have a million opinions. I'm just overwhelmed and extremely upset. Any opinions or thoughts truly help. ty

Gary M. Horndeski, MD · Answer

Your implants are too large for your body and are wider than your chest wall.  They are too heavy and your skin envelope cannot hold them.  At this time, the revision will probably cost as much or more than the original operation.  You may want to remove the implants, lift the breasts and then after 6 months place smaller implants totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

Your implants have dropped out, and your scars are unacceptable. Did you use post-operative tape to support the skin for 2 to 3 months after surgery? Absorbable mesh is the way to go to diminish the risk of a recurrent drop out after a revision surgery. It does not increase the risk of complications when done by a revision expert. In addition to capsulorrhaphy with mesh reinforcement, your capsules and implants need to be re-assessed. I think a lower profile implant that is wider/taller would look more natural.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. Unfortunately, there is no easy fix. Many years ago, I pioneered a technique specifically for patients like you termed "Reductive Augmentation". This involves an internal bra-capsulorrhaphy, revision of the mastopexy-lift, and excision of the lower pole breast tissue. There appears to have been too much tension on your breast lift scars and these definitely need to be revised. You should be able to have a beautiful appearing breast with this technique. Best wishes to you.

Connie Hiers, MD, FACS · Answer

If they are not behind the muscle, they should be placed there. The inferior pocket can be tightened and lifted, and mesh could be added for better support. Also, you need to go smaller since your tissue is not supporting this size well.

Darryl J. Blinski, MD · Answer

Based on your nicely posted photos, it appears you have a mild of any bottoming effect. Appears you need a larger implant with a inferior mesh added. Best virtual consult with. Cost $15,000.

Have my breast implants "bottomed out"? What do I do next? (Photo)

Answers (7)

Answer: Implants

Answer: Implants

Answer: Postop pseudo, bottoming effect of implants after lift

Answer: Postop pseudo, bottoming effect of implants after lift

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Everything you need to know about Breast Implant Revision

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Have my breast implants "bottomed out"? What do I do next? (Photo)

Answers (7)

Answer: Implants

Answer: Implants

Answer: Postop pseudo, bottoming effect of implants after lift

Answer: Postop pseudo, bottoming effect of implants after lift

Browse related questions

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.