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?
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.
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