Had an uplift reduction and implant. Are my boobs bottoming out? Should I get a revision? (Photo)

Question

My boobs seem to go off to the sides and dragging my skin in the centre, are they bottoming out? Should I get a revision? I had 400c with a reduction and implant

Daniel Barrett, MD · Answer

Dear Awesome7467,
bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery.
Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies.
If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Your photographs are somewhat limited but it appears your breasts are wider than your chest wall.  At this time, the technique I recommend is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Randal Haworth, MD, FACS · Answer

What you are describing may be fold malposition, which can typically be resolved with Strattice. Strattice is often referred to as an 'internal bra' because it supports the breast tissue and helps hold the implants in the correct position. It can also be used in cases where implants have bottomed out. However, correcting fold malposition with Strattice will require a revision surgery.

Please note that an in-person examination is necessary to confirm the diagnosis and determine the best course of action.

I hope this information helps. Best of luck!

Connie Hiers, MD, FACS · Answer

Your tissue is not supporting the weight of your implants and letting the implants sag. I would suggest going down in size and removing the excess skin from the inferior incision.

Richard P. Rand, MD, FACS (retired) · Answer

Your photos demonstrate no bottoming out or double bubble deformity, the inframammary crease scars are right in the crease. Patients who need lifts and reductions have basically poor tissue elasticity and strength so the implants always settle down in time and lose their initial upper pole fullness.

Had an uplift reduction and implant. Are my boobs bottoming out? Should I get a revision? (Photo)

Answers (5)

Answer: Revision

Answer: Revision

Answer: Your fine, not to worry

Answer: Your fine, not to worry

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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.

Had an uplift reduction and implant. Are my boobs bottoming out? Should I get a revision? (Photo)

Answers (5)

Answer: Revision

Answer: Revision

Answer: Your fine, not to worry

Answer: Your fine, not to worry

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.