Bottomed Out with Mesh - Will adding more mesh prevent me from bottoming out again? Should I ask for smaller implants?

Mesh is certainly not a cure all for bottoming out. Did you have a breast lift? Bottoming out is not that common with just augmentation and using mesh at the first operation is not often indicated. Often switching to smaller implants does make a number of different problems a bit more easier to take care of surgically.

Bioabsorbable mesh is helpful in giving support to the tissues to help prevent complications such as bottoming out, but there are no guarantees. Smaller implants weigh less and may also help since less force will be placed on the breast tissue. I encourage you to visit with a few board certified plastic surgeons near you if you are unsure about your recommendation.

When implants bottom out, it’s due to the surgeon not having maintained the integrity of the IMF or infront mammary fold.
The outcome is due to surgical error and if the revision didn’t hold up, it’s because your surgeon couldn’t do it.
Some situations are more difficult than others.
How much experience does your surgeon have correcting this deformity?
Ask providers to open up their portfolio and show you their entire collection of before and after pictures for whatever operation they are recommending.
Ask them what their tracker record has been in the past and how often they do this procedure.Correcting bottomed out implants can be difficult, but can be done without recurrence if done correctly.
Consider getting a few in person second opinion consultations with other plastic surgeons in your community .
If you don’t know who to consult with, then consider looking up who does most of the breast cancer reconstruction in your community.
Plastic surgeons who do a lot of breast reconstructive surgery usually have experience taking care of complex situations.Best,
Mats Hagstrom MD