What causes bottoming-out and can that occur without implants? I'm considering a lift without implants and wondering if bottoming-out is something I could possibly encounter down the line.
Answer: Gravity always wins Over time, the relentless pull of gravity will alter every result irrespective of the specific details. Larger breasts (according to Newton) descend over time as the retaining ligaments weaken and the skin envelope thins out. A larger, heavier implant will drop faster than a relatively smaller device. Similarly a larger, heavier, breast will do the same.Bottoming out refers specifically to the process by which the implant descends behind the breast mound stretching the IMF to nipple distance. This is best addressed by capsulorrhaphy (or reinforcing the capsule at the fold) +/- the addition of a support matrix such as Strattice/ADM. It is also often prudent to downsize concurrently in order to decrease the risk of/rate of recurrence.With regards to your specific question, risk factors for bottoming out include, large implants, disruption of the native fold, and poor native tissue support.As always, discuss your concerns with a board certified plastic surgeon (ABPS).
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Answer: Gravity always wins Over time, the relentless pull of gravity will alter every result irrespective of the specific details. Larger breasts (according to Newton) descend over time as the retaining ligaments weaken and the skin envelope thins out. A larger, heavier implant will drop faster than a relatively smaller device. Similarly a larger, heavier, breast will do the same.Bottoming out refers specifically to the process by which the implant descends behind the breast mound stretching the IMF to nipple distance. This is best addressed by capsulorrhaphy (or reinforcing the capsule at the fold) +/- the addition of a support matrix such as Strattice/ADM. It is also often prudent to downsize concurrently in order to decrease the risk of/rate of recurrence.With regards to your specific question, risk factors for bottoming out include, large implants, disruption of the native fold, and poor native tissue support.As always, discuss your concerns with a board certified plastic surgeon (ABPS).
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May 3, 2017
Answer: What causes bottoming-out? Bottoming out can be related to breast implants that are too heavy. So over time, the patient's tissues cannot hold the implant in the proper position. This can lead to the implants and the breasts sitting too low on the chest.With a mastopexy or breast lift, bottoming out can occur if the patient's tissues cannot hold the weight of the natural breast tissue over time. The uplifted volume will gradually shift to the inferior aspect of the breast and make it look bottom heavy. Of course, this does not always occur. It usually depends on the quality of the patient's tissues. Best of luck!
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May 3, 2017
Answer: What causes bottoming-out? Bottoming out can be related to breast implants that are too heavy. So over time, the patient's tissues cannot hold the implant in the proper position. This can lead to the implants and the breasts sitting too low on the chest.With a mastopexy or breast lift, bottoming out can occur if the patient's tissues cannot hold the weight of the natural breast tissue over time. The uplifted volume will gradually shift to the inferior aspect of the breast and make it look bottom heavy. Of course, this does not always occur. It usually depends on the quality of the patient's tissues. Best of luck!
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May 3, 2017
Answer: Bottoming out Hello,
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May 3, 2017
Answer: Bottoming out Hello,
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Answer: What causes bottoming out? Bottoming out is when the implant settles to the bottom of the tissue and a majority of the implant is below the nipple area. If you look at a breast, about 70-80% of the fullness is below the nipple and only 10-20% of the breast is above. To correct this, best options are to go with a slightly smaller implant, and also to consider a breast lift where you tighten the bottom of the breast and allow the implant to sit in a nicer position where you have a good portion of the implant that sits above the nipple. So you have maybe 40% above and about 60% below. I think that is a more pleasing contour, than when 80% of the implant is sitting below the nipple.
Helpful 1 person found this helpful
Answer: What causes bottoming out? Bottoming out is when the implant settles to the bottom of the tissue and a majority of the implant is below the nipple area. If you look at a breast, about 70-80% of the fullness is below the nipple and only 10-20% of the breast is above. To correct this, best options are to go with a slightly smaller implant, and also to consider a breast lift where you tighten the bottom of the breast and allow the implant to sit in a nicer position where you have a good portion of the implant that sits above the nipple. So you have maybe 40% above and about 60% below. I think that is a more pleasing contour, than when 80% of the implant is sitting below the nipple.
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May 4, 2017
Answer: Bottoming out It is typically caused by weakness of the tissues, or implant weight. There are techniques that can be used to lessen the risk of this over time.
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May 4, 2017
Answer: Bottoming out It is typically caused by weakness of the tissues, or implant weight. There are techniques that can be used to lessen the risk of this over time.
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