Dear Doctors, I want to get a BA soon and I was wondering if there is a technique that is the safest against bottoming out, my biggest fear. I have minimal tissue (bra size 34AA) and my pocket width has been measured as 9.5cm by a surgeon and 11cm by another (which I found odd). That leads me to pick UTM, high profile gel implants. Preferred range 290 to 340cc and I'll let the doc decide. I hear great things about dual plane technique, is that good to avoid bottoming out in the future?
August 16, 2024
Answer: Implant size is the main determinate of bottoming out Independent of plane of placement, steering clear of very large implants will serve you well in avoiding bottoming out. Large implants stretch the skin, and sit lower than desired. Dual plane is upper pole of the implant under muscle, and the lower pole under skin and fat. Under muscle placement helps disguise implant rippling, which is not a huge issue due to the cohesive nature of gummy bear implants. Due to your small frame, a 250 cc range implant will likely look amazing, and not over-stretch the skin.
Helpful
August 16, 2024
Answer: Implant size is the main determinate of bottoming out Independent of plane of placement, steering clear of very large implants will serve you well in avoiding bottoming out. Large implants stretch the skin, and sit lower than desired. Dual plane is upper pole of the implant under muscle, and the lower pole under skin and fat. Under muscle placement helps disguise implant rippling, which is not a huge issue due to the cohesive nature of gummy bear implants. Due to your small frame, a 250 cc range implant will likely look amazing, and not over-stretch the skin.
Helpful
August 15, 2024
Answer: Bottoming Out There are people who are more prone to bottoming out than others, and you may be one of them. Don't get me wrong, if done appropriately, your risk will be no greater than anyone else. But, if a surgeon only measures breast base width, ignores nipple to fold distance on stretch, and picks a ultra high profile device that's still too large, you'll drop out and have double bubble. An examination would confirm, but your breast tissues appear tight, and the distance from nipple to fold short. For a device whose volume is 300 cc, you'll need 8 cm on stretch; if you don't have that, then that 340 will lift your native inframammary fold off of your chest and the implant will descend. As for discrepancies in measurements between different surgeons, all I can say is that measuring breast dimensions is dependent on the person whose measuring them, so pick an expert. Part of the surgical 'technique' is pre-surgical implant selection, which is where a lot of operations go wrong.
Helpful
August 15, 2024
Answer: Bottoming Out There are people who are more prone to bottoming out than others, and you may be one of them. Don't get me wrong, if done appropriately, your risk will be no greater than anyone else. But, if a surgeon only measures breast base width, ignores nipple to fold distance on stretch, and picks a ultra high profile device that's still too large, you'll drop out and have double bubble. An examination would confirm, but your breast tissues appear tight, and the distance from nipple to fold short. For a device whose volume is 300 cc, you'll need 8 cm on stretch; if you don't have that, then that 340 will lift your native inframammary fold off of your chest and the implant will descend. As for discrepancies in measurements between different surgeons, all I can say is that measuring breast dimensions is dependent on the person whose measuring them, so pick an expert. Part of the surgical 'technique' is pre-surgical implant selection, which is where a lot of operations go wrong.
Helpful
