I have bottomed out 3 times- should I explant?

Unfortunately, you have not provided photographs. However, if you have bottomed out 3 times, I do not think the 4th time will be the charm. I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hello @Dazzling4087, thank you for your question. You should have an explant with total capsulectomy and since you have good breast tissue I would consider a breast lift to rearrange the breast tissue and lift the areolas and nipples. The shape of the breast is improved by rearranging the breast parenchyma. I understand your concerns regarding breast animation deformity and chronic pain. It is possible that the underlying cause of the symptoms is related to the pectoralis muscle attaching to the chest wall. However, a thorough consultation and examination would be necessary to determine the cause of the problem and treat it. To shed more light, I share a video. If you are considering breast explantation, consultation with a plastic surgeon experienced in this procedure is essential to ensure optimal results. Best regards.

Alan Gonzalez MD, FACS. Member of the International Federation for Adipose Therapeutics and Science (IFATS), Member of the American Society of Plastic Surgery (ASPS), Member of the Colombian Society of Plastic Surgery (SCCP).

You did not post photos not stated what size of implants you have, so I cannot be specific., Usually, repeat bottoming out is related to having implants too large and heavy for your frame and tissue. Your tissue is not supporting the weight. I would suggest going smaller.