Can capsulorrhaphy & capsulotomy performed together fix bottoming out & high rising implants? (Photos)

Thank you for your query. While Capsulotomy with suture repair of the pocket may sometimes suffice, you may need a capsulectomy and recreation of the pocket with suturing of the tissues for the problem of high rising implants with bottoming out of the breasts tissues. Please discuss all your concerns with your Plastic surgeon who can examine you and give you different options. All the best!

You show two pictures and I don’t know which is you currently. If the lower one is you currently do not get a revision. The implant placement is fine. Your nipples just happen to be a little low

Dear Alibee1986,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

If the implants are sitting too high, the pocket needs to be lowered and widened. If the implants are bottoming out, the pocket needs to be tightened and raised, and sometimes a smaller, less heavy implant is also needed. Please discuss your concerns with your surgeon.