Do high profile implants bottom out more?

The tendency to bottom out is more dependent on size of the implant, rather than profile. Larger implants have a greater risk of bottoming out, especially if they exceed the body frame of the patient or if the patient has lax skin or poor tissue quality.

The potential to bottom out or cause inframammary fold malposition is dictated not by the implant, but by the surgical technique used to do the operation. There are several things that are required when doing a breast augmentation, revision, or mastopexy with augmentation that will maintain the inframammary fold and minimize the risks of bottoming out. It is crucial to close the incision appropriately, ensuring that scarp(s) fascia is re-secured to the chest wall before closing the skin. Many surgeons do not understand this concept and just close the skin and this increases the risks for bottoming out. Additionally, for patients with loose or weak tissues, sometimes use of a supportive mesh or scaffolding (Galaflex) may be warranted to further support the fold which reduces the chance of bottoming out. Certainly, the more weight that is placed on the fold will increase the likelihood of fold malposition, but generally speaking, bottoming out is a technical problem caused either by over dissection, poor closure, weak tissues, or all of the above.

Hello, thank you for your question. High profile compared to moderate profile implants do not contribute to the cause of bottoming out. Bottoming out occurs when the muscle or the breast tissue can not support the weight of the implant so heavier larger implants actually have a greater risk to bottom out based on this and not the profile. Speak to your plastic surgeon about your concerns.

Dear fixmybewbies,
implant profile doesn't affect bottoming out rate. 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.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

High profile breast implants are not necessarily more likely to bottom out than other types of breast implants. The likelihood of bottoming out is determined by a number of factors, including the implant size, shape, and placement, as well as the quality of the surrounding tissues.

Bottoming out occurs when the implant slips downward, causing the nipple to appear too high on the breast and the lower pole of the breast to become excessively elongated. This can happen when the implant is too large or heavy for the surrounding tissues to support, or if the implant is placed too low on the chest wall.

To minimize the risk of bottoming out, your plastic surgeon will take careful measurements and use their expertise to select the appropriate implant size and shape for your individual needs. They will also carefully evaluate the quality of your breast tissue and adjust the placement of the implant as necessary to ensure optimal support and positioning.

In some cases, your surgeon may recommend using a more supportive surgical technique, such as internal sutures, to help reduce the risk of bottoming out. However, it's important to note that every patient is unique, and the risk of complications can never be completely eliminated. For this reason, it's important to work closely with a skilled and experienced plastic surgeon and carefully follow all postoperative instructions to minimize the risk of complications and achieve the best possible results.

I hope this helps,
best of luck !

Implants bottom out from a number of reasons. Sometimes the implants are too heavy or large for the tissue to support them. Sometimes it is that the tissue is too thin or not strong enough to support the implant. When bottoming out occurs patients can consider switching to smaller implants. Another recommendation may be using bioabsorbable mesh to support the lower pole of the breast.

Bottoming out has more to do with volume and weight than with profile. Higher profile does thin your own breast tissue more than lower profile implants. If you chose a high profile, large implant, you will be at more risk of thinning and bottoming out because of the weight.

When it comes to bottoming out of implants, there are multiple factors that come into play. There is a technical aspect that must be considered, which refers to issues with surgical technique. The other aspect that must be taken into account is the size of the implant. Bigger implants, regardless of profile, have more of a tendency to bottom out. The final part of the puzzle has to deal with the patient. Some patients have poor tissue quality due to factors such as age, fluctuations in weight, etc. This basically means that even if a small implant is placed, their tissues cannot support the implant.

Thank you for your question.

The quick answer is no in fact high-profile implants often are more projected the opposite of bottoming out.

However bottoming out is usually caused by the implant pocket being created to low on the chest wall with lack of and intact inframammary crease ligament.

Therefore to surgical technique more than type of implant that can cause bottoming out. If however the high-profile implant is placed to low on the chest wall bottoming out can certainly happen with high high-profile implant.