Is this bottoming out and should it be fixed? (Photo)

Question

Breast enlargement 7 months ago. The implants went down in the first month. Motiva round 335 cc. Did they shift due to a surgical error or because of the implant brand? The doctor denied the problem and left me alone.After the 7th month, Does wearing a bra and doing activities such as Latin dancing increase bottoming? What should I do to prevent it? Do you think I should have corrective surgery? Is POLYTECH less likely to slip? Thanks for your valuable opinions.

John E. Nees, MD · Answer

It's important to address your concerns regarding breast implant shifting and the potential for corrective surgery. First and foremost, it's essential to understand that individual cases can vary greatly, and consulting with a qualified plastic surgeon or a medical professional is always the best course of action for personalized advice.
Implant Shifting - Causes:
Implant shifting can be due to various reasons, including surgical technique, the patient's anatomy, or the type of implant used. However, without a thorough examination, it's challenging to determine the exact cause in your specific case.Motiva implants are known for their quality, but like any medical product, they are not immune to complications.Surgical error can play a role in implant shifting, but it's also possible that natural factors such as tissue stretching or muscle movement contributed to the issue.Activities and Implant Stability:
Normal activities, including dancing, typically should not cause a well-placed implant to shift significantly. However, vigorous physical activity might have an impact, depending on how your body has healed and adapted to the implants.Wearing a supportive bra, especially during activities like Latin dancing, is generally recommended to provide additional support and possibly reduce the risk of further shifting.Preventive Measures:
Follow post-operative guidelines provided by your surgeon, including wearing the appropriate support garments.Regular check-ups with your surgeon or a healthcare professional are vital to monitor the condition of the implants.Corrective Surgery Considerations:
If the shifting of the implants is significant and causing discomfort or dissatisfaction, corrective surgery might be an option.The decision to undergo corrective surgery should be made after a detailed consultation with a plastic surgeon who can assess the extent of the issue and discuss potential solutions.POLYTECH Implants:
POLYTECH implants are another reputable brand with their own set of features. Whether they are less likely to slip compared to other brands depends on individual factors and the specific circumstances of your surgery.A surgeon familiar with different implant types can offer advice on whether switching brands might be beneficial in your case.Seeking Second Opinion:
Since your current doctor has denied the problem, seeking a second opinion from another qualified plastic surgeon is advisable. They can provide an independent assessment and recommendations based on your current situation.Remember, every patient’s body reacts differently to implants, and what works for one person may not work for another. It's crucial to have a thorough discussion to understand the risks, benefits, and possible outcomes of any decision you make regarding your implants.

Gary M. Horndeski, MD · Answer

Your breasts were asymmetrical pre-operatively.  As you can see, the surgeon extended the pocket inferiorly, released the inframammary fold and that is why they are bottoming out.  You will need a circumareola approach to reposition the nipple-areola complexes.  You will also need the inframammary approach to change to smaller implants or dissect the pocket higher and do inferior and lateral plications.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

Your implants have dropped about the amount that would be expected. I don’t think there is anything to be gained by a revision. The result looks good

Michael S. Kluska, DO · Answer

As implants age, all implants will settle to some degree. In your photos, your nipples appear to be slightly above the equator of the implant. A simple fix for this would be one of two options. First replacing the implant with a slightly larger Natrelle Gummy bear implant and number two tightening up the pocket beneath the current implant to elevate the implant. My recommendation would be to stick to smooth, round highly cohesive (Gummy Bear) implants.

Connie Hiers, MD, FACS · Answer

Both implants are bottomed out in your photos. I would suggest going down in size, repositioning your inferior pockets, and using mesh for internal support.  When you dance or doing any exercise, you need to wear a good supporting bra.

Is this bottoming out and should it be fixed? (Photo)

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Is this bottoming out and should it be fixed? (Photo)

Answers (5)

Answer: Implant Positioning

Answer: Implant Positioning

Answer: Implants

Answer: Implants

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.