I had breast implants 6 months ago. My primary PS said that I'd dropped a little low (1-2cm) in my left implant but was in the normal range. I sought another opinion. The 2nd PS said that I'd bottomed out, with a touch of lateral displacement. Both PS said this was from weak tissue. He said that he could go in under local anesthesia, remove some skin and place stitches inside my pocket to support the implant. Is this routine? Do I need an internal bra? How do you permanently fix this?
Answer: Bottoming out Bottoming out may require the capsule to be tightened and a mastopexy of the surrounding breast tissue. It is difficult to say without an exam.
Helpful 1 person found this helpful
Answer: Bottoming out Bottoming out may require the capsule to be tightened and a mastopexy of the surrounding breast tissue. It is difficult to say without an exam.
Helpful 1 person found this helpful
Answer: Correcting bottoming out isn't that straightforward. Your tissue must be examined and the size of the implant considered and if too large, downsizing could be reality. Your own motivations must be reviewed and the different techniques bring with it different costs. Then you must choose what is best for you.When a surgeon tells you its 'normal' and you disagree, simply ask your surgeon if he/she would be happy with you showing your friends your results or posting your results on site such as this.
Helpful
Answer: Correcting bottoming out isn't that straightforward. Your tissue must be examined and the size of the implant considered and if too large, downsizing could be reality. Your own motivations must be reviewed and the different techniques bring with it different costs. Then you must choose what is best for you.When a surgeon tells you its 'normal' and you disagree, simply ask your surgeon if he/she would be happy with you showing your friends your results or posting your results on site such as this.
Helpful
March 5, 2014
Answer: Correct bottoming out It sounds like two surgeons disagree. It is important how you feel about the result and if you think the breast is low an needs correction. Bottoming out is usually repaired by closing the pocket with a capsule suture and resetting the breast fold. For a few a support material might be needed such as Strattice. The "remove some skin" doesn't sound right and the local anesthesia might limit the ability to do the repair correctly. Few things are "routine" so choose your surgeon carefully.
Helpful
March 5, 2014
Answer: Correct bottoming out It sounds like two surgeons disagree. It is important how you feel about the result and if you think the breast is low an needs correction. Bottoming out is usually repaired by closing the pocket with a capsule suture and resetting the breast fold. For a few a support material might be needed such as Strattice. The "remove some skin" doesn't sound right and the local anesthesia might limit the ability to do the repair correctly. Few things are "routine" so choose your surgeon carefully.
Helpful
May 3, 2016
Answer: How to Fix Bottoming Out--Is it Normal Bottoming out can occur from the tissue stretching or the implant slipping out of the intended pocket. The solution depends on the problem but can be corrected with skin removal, placement of a silk sheet or artificial skin, or simply replacing the implant in a higher position with placement of a few sutures. It usually does require another procedure. Whether you return to the operating room or have it performed in the office is dependent on your surgeon. It should be able to be corrected.Michele Koo, MD, FACS
Helpful 1 person found this helpful
May 3, 2016
Answer: How to Fix Bottoming Out--Is it Normal Bottoming out can occur from the tissue stretching or the implant slipping out of the intended pocket. The solution depends on the problem but can be corrected with skin removal, placement of a silk sheet or artificial skin, or simply replacing the implant in a higher position with placement of a few sutures. It usually does require another procedure. Whether you return to the operating room or have it performed in the office is dependent on your surgeon. It should be able to be corrected.Michele Koo, MD, FACS
Helpful 1 person found this helpful
March 5, 2014
Answer: Options for correcting bottoming out When the breast implants sit too low on your chest, you may need to consider a second surgery to correct this problem. This may involve surgery on the breast implant capsule, the lower breast tissue or the skin of the breast. Sometimes you can use an "internal bra" with a product like Strattice for internal support. You should have a discussion with a board certified plastic surgeon (whether your original surgeon or a second opinion) about what the different pros and cons of the various options are to figure out what is best for you.Good luck and feel free to contact me if you have any more questions.
Helpful
March 5, 2014
Answer: Options for correcting bottoming out When the breast implants sit too low on your chest, you may need to consider a second surgery to correct this problem. This may involve surgery on the breast implant capsule, the lower breast tissue or the skin of the breast. Sometimes you can use an "internal bra" with a product like Strattice for internal support. You should have a discussion with a board certified plastic surgeon (whether your original surgeon or a second opinion) about what the different pros and cons of the various options are to figure out what is best for you.Good luck and feel free to contact me if you have any more questions.
Helpful
