I am worried that my left breast(with tattoo) is bottoming out. I am also worried about that my right breasts incision is not healing. I saw my Dr. 3 days ago, he says that I am not bottoming out and that my right breast incision is not infected and will heal if I keep it covered and neosporine on it. It has opened up since I spit stitches two weeks ago. I’d like opinions on if I am bottoming out and if I should be more concerned about my incision.
November 17, 2018
Answer: Post Op Bottoming Out? Hi 02Butterfly, Thank you for the question and the photo. I understand your concern. 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. Though rare, some women who undergo breast augmentation will develop a minor deformity known as a “double bubble,” in which additional folds appear underneath the breasts due to the implant accidentally shifting or contracting post-surgery. In most cases, the implant simply slipped too far down the chest wall and traveled behind the breast inframammary crease (the area where the lower breast meets the chest), instead of moving forward to fill the breast cavity. If left untreated, the lopsided implant will form unnatural indentations, resulting in an odd “four-breast effect” rather than the full, rounded chest the patient initially desired. However, you are still in the early stages of the healing process at 9 weeks post op. Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively. At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery. It can take about four to six months for the implant to drop down to their final position. Also, your breasts can drop at different rates. 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, MD, MHA, MS Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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November 17, 2018
Answer: Post Op Bottoming Out? Hi 02Butterfly, Thank you for the question and the photo. I understand your concern. 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. Though rare, some women who undergo breast augmentation will develop a minor deformity known as a “double bubble,” in which additional folds appear underneath the breasts due to the implant accidentally shifting or contracting post-surgery. In most cases, the implant simply slipped too far down the chest wall and traveled behind the breast inframammary crease (the area where the lower breast meets the chest), instead of moving forward to fill the breast cavity. If left untreated, the lopsided implant will form unnatural indentations, resulting in an odd “four-breast effect” rather than the full, rounded chest the patient initially desired. However, you are still in the early stages of the healing process at 9 weeks post op. Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively. At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery. It can take about four to six months for the implant to drop down to their final position. Also, your breasts can drop at different rates. 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, MD, MHA, MS Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
September 10, 2021
Answer: Post op course No, you have no bottoming out. Your scar is hypertrophic but should settle down with time. Share your concerns with your surgeon and get their recommendations on how to get your scar to improve.
Helpful 2 people found this helpful
September 10, 2021
Answer: Post op course No, you have no bottoming out. Your scar is hypertrophic but should settle down with time. Share your concerns with your surgeon and get their recommendations on how to get your scar to improve.
Helpful 2 people found this helpful