Bottoming Out - Getting Explanted, Can I Fix the Crease? (photo)

For patients in your situation, what I have found helpful is the use of internal sutures ( capsulorrhaphy) done to help reconstruct the inframammary fold area. This procedure is done at the same time as removal of breast implants and serves to improve the appearance of the lower breast fold and hide the inframammary scar better as well.

 Best wishes.

Good day! Yes, there is a procedure that can restore the crease beneath your breast to its normal position. Capsulorrhaphy involves nternal reconstruction including the capsule around your implant. This procedure may redefine the breast shape and refine the internal fold. Improved appearance after explantation can be achieved through a lift or fat transfer in conjunction or after the surgery if you are not satisfied with the results. Do not hesitate to ask your surgeon about this and discuss realistic goals and expectations. Best of luck! #RealSelf100

Surgery is the only effective remedy. Revision surgery is almost always more complex than breast augmentation. Correction techniques vary based on your plastic surgeon’s experience and skill sets. Always choose a board certified plastic surgeon with expensive revision experience as even in the best of hands recurrence is frequent especially if larger implants are used. Repair techniques include some of the following techniques and recommendations:Textured implants (“Velcro effect”)Use of Smaller ImplantsMaximum Submuscular Position (not just the pectoralis major but abdominis rectus below and serratus anterior on the side)Capsulorrhaphy (tightening the pocket by sewing in-folded capsular tissue together)Use of Biologic fabrics and other materials such as Acellular Dermal Matrix, “ADM” Alloderm, Strattice, “Silk” and others that can be used to reinforce the bottom of the pocket.Change of position of implant to a new pocket location “neo pectoral pocket”Internal Ryan Procedure (sutures binding the inferior mammary fold to stronger underlying tissues (e.g. fascial, periosteal)Removal of Implants and replacement of volume using your own fat (Fat Transfer).#bottomingout#breastaugmentation#BA