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Dear Persistent886287,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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Based on the position of your scars, I don't think there is a significant amount of bottoming out. Looking at the left lateral view, the implant looks like it may be slightly below the inframammary fold, which could indicate early bottoming out. Have you noticed a significant change in the position of the implants over the last few months? If you have noticed a difference in the past few months, it might be possible to address this with doing some work on the capsule around the implant.Another factor I would consider is the profile of the implant that you have. Again looking at the side-view photos, it looks like the nipple-areolar complex is a little above the most projected point of the implant, which can give the nipple an upward projection. If that is the case, using an implant that has a different profile (i.e. wider diameter), could elevate where the most point of maximal projection sits on the chest.
From the photos it does appear that your implants are bottoming out. This can happen for a variety of reasons, but a revision is needed to correct it. Sometimes exchanging for smaller implants is recommended. Another option is adding bioabsorbable mesh to give more support to the tissues. I've included a video I hope you find helpful.
The treatment is a surgery to correct the fold of the breast. Often a synthetic mesh or allograft is used to aid in the repair. A consultation with your surgeon will help.
Based on your nicely, post photo as your result is acceptable, but if you’re unhappy, the only option is to do research surgery with the use of an internal matrix to tighten the inferior pocket. Best of virtual consult with for better explanation. Expect fee to arrange from $8000-$12,000
Dear Anonymous 2222, 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...
Dear Pioneering681300, breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes...
It’s difficult to give you a guess without knowing more details about your current measurements. Please ask your surgeon's office if you can try on sizers. These are implants you can fit into your bra to give you a better idea of how may look after surgery.
