Is there any way to prevent a breast implant from bottoming out? Will I have to worry about this the rest of my life? Will I not be able to wear thin bras? Thank you.
How to Prevent Breast Implants from Bottoming Out?
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Doctor Answers 9
Bottoming out cannot be completely prevented. Most times it happens early on because the fold was violated.
Don't bottom out
The only thing you can do to avoid bottoming out is probably for your breast aug to be done by the most qualified individual in your market ... an ABPS Board Certified Plastic Surgeon.
Outside of that, there's no bra that'll stop the drop if the job was poorly done. If the implant is really, really big and you're really, really tiny, the chances of bottoming out are greater. It's not clear to me if you've had surgery yet or not. If you've not, then the only indicator that I've seen in patients preop is if they have stretchmarks and signs of very lax tissues within their breasts, the chance of bottoming out is higher so the surgery needs to be tailored for your body to avoid this problem by limiting the release of tissues inferiorly.
If you've already had the procedure and they're starting to bottom out, then you may be dealing with the inevitable, but there's no harm in using a good supportive bra all the time to stretch it out as long as you can. For this there are new products available but that's a whole other topic.
Breast implants and bottoming out
I am not completely sure what you mean when you say "bottom out". If you mean sag, yes they can, just like our natural breasts do. This tendency to sag is affected the size of the implant, the natural genetic tendency we have for either tight or loose skin and our natural aging process. By selecting smaller size implants, you will do less damage to your tissues. Wearing a bra is extremely helpful for everyone. It helps prevent the breast skin and tissues from stretching out.
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Bottoming out and Side Boobs Contributing Factors:
- Larger/Heavier Implants
- Implants placed above the pectoralis muscle
- Chronically not wearing a bra when upright
- Over dissection of the Implant Pocket
- Smooth Implants
- Large swings of weight including pregnancy
- Skin and soft tissue laxity, loss of elasticity
Preventing breast implants from bottoming out
Bottoming out and prevention
“bottoming out” is the term used to describe the condition which occurs when the breast tends to look as if it has descended on the chest wall after previous surgery, whether the surgery involved implants, a lift, or a reduction. In the case of “bottomed out” implants, sutures can often be placed in the lower pole of the breast to re-elevate the breast on the chest wall. This is called a capsullorraphy and can achieve excellent tresults in the correction of “bottomed-out implants. the risk of bottoming out can be lessened by correct pocket dissection
Bottoming out breast implants may be a problem
Bottoming out is a problem sometimes seen in patients who receive breast implants that are too large for their breast and these women often have excess breast skin. Selecting the correct size, shape, and position of the implant can help prevent this problem.
Bottoming out implants
First and foremost you should chose an experienced board-certified plastic surgeon to care for you.
Your plastic surgeon will examine you and help you make a determination as to what size/style/type of implant will suit you best for your tissues and what you are trying to achieve.
Implants can thin the tissues of the lower breasts so the larger the size the chose, the higher the risk of this is.
True "Bottoming Out"?
There is confusion over the term "bottoming out" as it may refer to inframammary fold overdissection or overstretching of the lower pole of the breast. Prevention or correction depends upon whether surgery is primary or revision and skin quality. Some complicated revisions may need Strattice (pig dermis) or human equivalent. We use bra support after these revisions to aid healing. I am not sure whether wearing a bra past the initial healing period really prevents any of these issues.
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.