Recurring bottoming out - how can I prevent this?

Recurrent bottoming out after several revisions usually indicates that the soft tissue has reached its mechanical limit. Each previous surgery weakens internal support, and large over-the-muscle implants place additional downward tension on already stretched tissue.
To achieve long-term stability, the plan often involves downsizing the implant and reconstructing stronger internal support. Moving the implant to a dual-plane (partly under the muscle) position or reinforcing the pocket with a biological or synthetic mesh can reduce stress on the lower pole.
Choosing the right size should not be based on cup numbers but on breast base width, tissue thickness, and skin elasticity. During surgery, temporary sizers help test the dimensions that provide fullness without excessive weight.
It’s completely understandable to hesitate after multiple operations, but thoughtful revision planning with smaller volume and reinforced support can often restore both confidence and comfort.
The goal is not just a smaller implant but a more stable and natural shape that your tissue can comfortably maintain over time.
Revision surgery can be emotionally and physically demanding, but with careful planning and gentle correction, it is possible to regain comfort and confidence again. I wish you patience and ease through your journey.Güray Yeşiladalı, MD