My implants have bottomed out. Is an internal mesh bra worth it? (Photo)

Your implants are too large and heavy for your tissue to support them. Yes, you need an internal bra of mesh and you need to go smaller. Otherwise, you will sag again.

Hi. You only provide one photo to assess your results. From what I can see, this is not an issue of bottoming out, but an issue of a very large breast with tissues that cannot fully support its size.

A more pleasing result could be obtained by a smaller implant along with a lift revision, and perhaps with mesh.

Managing and plants that are bottomed out is fairly complex and not always straightforward and easy. Ideally, putting them out should be minimized by being careful in creating an ideal implant pocket during the primary procedure.
You are different approaches to how to deal with with his problems. Supporting the implant using mesh or cadaver dermis products like Alloderm are typical options.Sometimes the pockets can be closed by using internal anchoring sutures.
Reconstructing the breast after implants a bottom out is not always successful and outcomes vary, depending on the patient’s candidacy, tissue qualities, and the skill of the provider etc.
Your best option is to find the most experienced and talented provider who has ample experience treating this condition in the past. You may want to consider reading some of the responses Dr. Tom Pousti in San Diego has left on this website. He is one of the foremost, experts in breast augmentation , including complex secondary procedures. He’s a prolific author when it comes to answering patient’s questions on this website and has addressed this condition many times before with eloquent responses.
Best,
Mats Hagstrom, MD