450cc, 5'4, 120lbs & bottomed out implant will mesh/cadaver skin fix this issue? (Photo)

Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. Your implants have definitely bottomed out, however you do not need mesh. I wrote the very first paper on the internal bra-capsulorrhaphy over 20 years ago. You should be able to have an excellent result. Best wishes to you.

Dear Vivid,
Thanks for posting your picture and sorry for your sub optimal outcome. From observing your picture the following is noticed:
1. Bilateral bottoming out, more so on the right side. The solution for that condition is inferior capsulorrhaphy (internal bra) , which will raise the sub mammary crease to more natural and attractive position. It will also give you a fuller upper pole. You will have to wear a bra 24/7 for 6 weeks in order to protect the repair. It is unnecessary to use mesh or cadaver skin !
2. Wide cleavage. This will require medial capsulotomy (scar release) to allow the implants to move more towards the mid line and give you a nice cleavage. You will have to perform medial implants displacement massage daily for 6-12 months in order to maintain a nice cleavage.
3. Right side bigger. Size adjustment can be done.
4. Most likely you will need upper capsulotomy in order to allow the implants to move upward with the capsulorrhaphy maneuver and definitely you will need it if you want larger implants, which require larger pocket to accommodate bigger implants.
Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after picture of redo breasts augmentation in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky and natural look.
Best of luck,
Dr Widder
widderplasticsurgery.com