Have I bottomed out? What can I do? (Photo)

Question

I had a breast lift with Mentor high profile 350cc under the muscle implants a little under a year ago. I lost my upper pole very quickly and now wonder if I have actually bottomed out. I have sent pictures to my surgeon with no response. Unsure what to do.

Richard Baxter, MD · Answer

It appears that you have a degree of bottoming out both with the implants and the breast tissue. An internal bra with Gala mesh can help. In your case I might put it under the skin rather than around the implant.

Donald R. Revis Jr, MD · Answer

Good afternoon,
You have bottoming out, and your PS is probably blowing you off because they know they overdissected your pockets and don't want to or don't know how to fix it. I developed a technique over 20 years ago I call the Original Internal Bra (because there have been many copycats since then). It is a strong, permanent internal suturing technique which actually permanently corrects bottoming out. Today it is the most common revision I perform, at least 5-6 times a week- it works and it lasts!

Gary M. Horndeski, MD · Answer

Your breast lift was inadequate and you will need a repeat breast lift. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. You will also need the pockets for the implants plicated.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear cherylweave,
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.
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
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Your implants have dropped, but neither your breast or implants have bottomed out. Please continue to wear a good bra, especially when exercising.

Jason Pozner, MD · Answer

Looks like more inferior pole stretch then true fold malposition. I would revise the lift with Galaflex mesh for support. This will give much more upper pole fullness.

Have I bottomed out? What can I do? (Photo)

Answers (6)

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