5'2/105 lbs 295cc submuscular round implants. right one bottomedout had revision capsuloraphy but fell back (photo)
Doctor Answers 3
Not bottoming out
However, your photograph shows that your left breast is lower than your right. A capsulorrhaphy, in my hands is not a sturdy enough repair to restore the inframammary crease (the fold where the breast attaches to your chest). There are several techniques to raise the inframammary crease. Some of the techniques include placement of an artificial skin (ADM), scarpa's repair Ask your plastic surgeon what he/she thinks would work best in his/her hands.
As far as going with a larger implant, I would not do that at the same time as the repair because it will put undue stress on the repair. Get everything restored to where it should be and then increase the size of your breasts.
Breast implant revision
Personally, if I had done a capsulorraphy once and it did not work I would consider another alternative.
Bottoming out after breast augmentation…
It is possible that you are feeling the implants significantly along the lower poles of the breasts. Patients in your situation often complain of discomfort in the area of implant malposition. Also, consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low.
I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation. Also visibility of the inframmammary fold scars should improve with this operation.
Whether or not to use your existing breast implants will be very simply determined; if they achieve your desired outcome in regards to breast size/shape, then more than likely you can utilize the same implants. If not, the use of the appropriate size/profile of breast implants will not be necessary to achieve your desired outcome. In my practice, this is best determined using intraoperative sizers during surgery after careful communication with the patient prior to surgery.
Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with revisionary breast surgery.
I hope this, and the attached link (dedicated to corrective surgery for bottoming out concerns), helps.