External sutures to keep a breast implant from bottoming out?

Question

Eight weeks ago I had a surgery to correct bottoming out and had internal sutures put in to help support my breast implants. I am so bottoming out, and the pain is even worse than it was before because now I feel the pain of the sutures with the bottom out. My surgeon mentioned he could do some external sutures to help support the implant. Would this help or would it make it worse since the internal sutures did not work?

Gerald Minniti, MD, FACS · Answer

Rapid failure of correcting bottoming out and discussion of placing external sutures (transcutaneous?) disqualifies this doctor in my estimation. Please see a revision breast surgery expert. You'll need a proper capsulorrhaphy and the use of reinforcing absorbable mesh to secure your implants.

Gary M. Horndeski, MD · Answer

If your breasts keep bottoming out then you have too big of a load.  You need to consider another option such as explant with lift or fat transfers or smaller implants.  I do not know anyone who will use external sutures to prevent bottoming out.

Best Wishes,

Gary Horndeski, M.D.

Randal Haworth, MD, FACS · Answer

External sutures may offer additional support, but it’s important to have a thorough consultation with your surgeon to evaluate the specific situation and determine the most appropriate course of action.

Connie Hiers, MD, FACS · Answer

You actually may need an internal bra of mesh to give good support. Your tissue may just be too thinned from being stretched by the implants. You also may need to go smaller to have less weight on your tissue.  I'm not sure if external stiches will do much for added support.

Jason Pozner, MD · Answer

Did your surgeon use any mesh for support to correct your problem? It appears that your tissue cant support the implant. You need some help. I would use Galaflex mesh to take the support away from the breast and on to the mesh

External sutures to keep a breast implant from bottoming out?

Answers (5)

Answer: Implants

Answer: Implants

Answer: Support for bottoming out

Answer: Support for bottoming out

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Everything you need to know about Breast Implant Revision

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External sutures to keep a breast implant from bottoming out?

Answers (5)

Answer: Implants

Answer: Implants

Answer: Support for bottoming out

Answer: Support for bottoming out

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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.