Bottomed out? What is this and how it could be fixed? (Photo)

I had replaced Natrelle 325cc smooth with 469cc textured.It's been 2 months since my surgery.Right implant is below the crease and I have discomfort.When I lay down it's even worse.If I push the right implant slightly in and up with my hand then they look the same. The first 2pictures are with my old implants and the rest are with the new implants.In the first 8 pictures my left breast is on the left side of the pic,in the last 5 pictures my right breast is on the left side of the pic.

Doctor Answers 3

Bottomed out? What is this and how it could be fixed?

I am sorry to hear about/see the problems you are having after revisionary breast augmentation surgery. I think your concerns are  appropriate; one of your breast implants• does seem to sit relatively low on your chest wall, consistent with mild breast implant displacement ("bottoming out”).



 

Given your discomfort and concerns about breast asymmetry, 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.   


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, helps.

Bottomed out? What is this and how it could be fixed?

To fit a larger implant it requires a larger pocket.  It is possible that the crease was lowered to allow the implant to fit properly.  If one crease is lower than the other then this may require a repair. I would allow at least 6 months to see how they both sit over time.  If the difference is minimal, I wouldn't suggest a reoperation unless you absolutely have to have it.  Every operation carries risks, and these could be devastating. 

Bottom out

Indeed you have a nice result from your revision.  The right side is slightly lower and this is common as there are degrees of settling to implants.  There is a procedure to raise the right sided implant which is called a capsulorrhaphy.  The decision to pursue that revision is up to you and your surgeon.  Remember that every procedure has associated risks and a strong case could be made to accept the results as they are now.

Hope this helps.

Dr. Ali Mosharrafa

Ali Mosharrafa, MD
Phoenix Plastic Surgeon
4.9 out of 5 stars 10 reviews

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