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Can slight bottoming out be fixed without removing implant? (photos)

HesitantFate17Mar 2, 2023
I have had 2 breast surgeries. The first, a disaster with overdissected pockets and bottoming out. Years later I had a great revision with a wonderful (since retired surgeon). He did a great job and tightly sutured the bottomed out side after replacing the implants. I now have slight bottoming out on the other side, you can feel the implant base below the incison line and the nipple is rising. Can this be repaired without removing my implants? What is the easiest way?

Answers (4)

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Dr. Daniel Barrett, MD
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Dr. Daniel Barrett, MD
Board Certified Plastic Surgeon
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Answered on Mar 5, 2023
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Dr. Randal Haworth, MD, FACS
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Dr. Randal Haworth, MD, FACS
Board Certified Plastic Surgeon
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Answered on Mar 5, 2023
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Dr. Connie Hiers, MD, FACS
Dr. Connie Hiers, MD, FACS
Board Certified Plastic Surgeon
Answered on Oct 10, 2023
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Dr. Douglas Taranow, DO, FACOS
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Dr. Douglas Taranow, DO, FACOS
Board Certified Plastic Surgeon
4.9 | 199 Reviews
Answered on Mar 3, 2023
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Ryan Rebowe, MD

It does appear that your implants have migrated slightly lower, resulting in pseudoptosis and "bottoming out" to a slight degree. It does not look terribly unnatural as many women, especially those who have breastfed, will develop a natural pseudoptosis over time. Whether or not you get it fixed...

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Richard Baxter, MD

I think an internal bra is a good idea to restore support to the implants. I would use Galaflex mesh over acellular dermal matrix in your case. Going larger will add more weight and will make it more difficult to hold the implants up over the long term.

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Gary M. Horndeski, MD

Bottoming out occurs because the weight of the implant stretches the skin and the skin in unable to hold the load. Going up to 485 cc implants, you are increasing the load and the situation will be even worse. You need to reconsider the size or consider fat transfer as an alternative. Best...

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Gary M. Horndeski, MD

The technique I recommend is 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...

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Chul Hwan Seul, MD, PhD

Currently, the sagging is not severe and the waterfall deformity is not severe, so in my opinion, it is better not to lift, and if there is damage to the implant, it is better to change only the implant to a similar size. If the implant is made larger than the current size, the shape will...

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Kenneth Hughes, MD

Capsular contracture remains the most common complication of breast augmentation, with rates reported between 0.5% and 30%. Despite extensive research, the cause of capsular contracture remains unknown. Two main theories address the underlying cause: subclinical infection and hypertrophic...

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