How to Stop bottoming out without scheduling surgery again?

Wearing a pushup bra to elevate the implant well off the inframammary fold may allow the pocket to close off and help a mildly low implant position, especially if this measure is instituted early.  However, after 4 months, if the problem is not improving, it may require surgery.  Discuss with your surgeon.  

Hello, aside from wearing a good support bra and avoiding strenuous or jarring activities until your breasts are well-healed, I don't know of other conservative measures to prevent this problem.

Unfortunately, you cannot stop bottoming out. It is a risk in all implant surgeries, and more common if certain techniques are needed to get you the look the you want. Lowering the fold is one of those techniques, but if not done then you may have been unhappy with your existing breast asymmetry, and it may have happened anyway. If you do bottom out excessively, additional surgery is recommended. There are a number of options for this situation, each having their own set of risks, and you should be aware that revision surgery can be more expensive than the original surgery depending on the technique used. You would need to be evaluated in person to determine what would be best for your situation. Constant underwire support is recommended.

Thank you for your question.  Unfortunately there is not much that you can do on your own to prevent "bottoming out".  Wearing a supportive bra in theory can help support the weight of the implant, but eventually the implant will settle into the pocket on it's own.  Tissue will always have some stretch to it and the weight of the implant with create that stretch and settling.   Best advice is to let things settle and then determine if you find this suitable or not.  Best wishes.

At this stage, you are doing everything to slow the settling of the implant.  I would wait until breast position stabilizes and then reassess.  Best Wishes,Nana Mizuguchi

with bras can help but you must make sure your bra is snug around your chest and the straps used to help support the weight of the implant.  If this is effective in stabilizing the implant, your body may be able to establish a better capsule that will help resist the weight of your implants on your fold.  But you'll have to do this for months and you can follow yourself by measuring the distance from your nipple to your fold and follow it.

I am sorry to hear about the problem you are experiencing. Given that you are only four months out of surgery at this point, I think that it will be in your best interest to wait prior to consider in additional surgery. Allow both breast implants to reach their final position before making any decisions. In the longer term, if you continue to have significant asymmetry, capsulorraphy will likely be necessary.  Follow your past surgeons adcice  regarding the suppotive bras; in my opinion, especially given the size of the breast pumps, it is unlikely that they will be very effective. Best wishes.

Dear PrincessCK,I read through your previous posts to get some perspective and saw that your implants are quite large (800 and 830cc) requiring your tissue to really stretch out to accommodate them. If you are still tight, expect that this process will continue to take some time. Down is one the the directions they have to go, as you can see from your first photos there was no more room to go up.When selecting a "supportive" bra I recommend patients look at strapless styles that allow you to wear straps rather than relying on just sports bras. The strapless style is tight around the rib cage and this is where they are providing the support.  Then you can use the shoulder straps for comfort, but the bra should provide good supported before you put the straps on your shoulders. You may need go to more of a higher end specialty bra store for this, and it might be a little pricier for good quality.Sports bras come in different styles, but many can smoosh you flatter actually forcing the implants down, so be careful on your selection here. A style with separate generous cups and underwires may be best. Remember that the band should be snug against the rib cage. If it is tenting out away from your body it is not really helping you here. Hopefully this is helpful, and best of luck!

HelloI'm sorry that you are having trouble with the level of your folds after augmentation. It has NOT been my experience that wearing a snug bra at this point (after the capsule has been formed around your implants) will help much. It's certainly something to try, but I suspect it will not improve your situation. The larger implant (you haven't said how much larger) is likely heavier, and this is contributing, as is the lowering of the fold. It may be helpful for you to post some photos to this site, if you are comfortable doing that. Breast asymmetry is always a challenge, and like your surgeon mentioned, it may take a revision to get it as close as possible.Best wishes-

Thank you for the question and wearing an underwire or push up bra may help but if you are truly bottoming out you may need surgery.Dr. Corbin