Implants bottomed out twice - why?

Question

I had 334 silicone put in. They bottomed out right away. So we put in 280 and surgical mesh and redid the pockets. Bottomed out again. They feel like they are completely floating free in there. Painful sleeping on side. Bra 24/7. Doc wants to restich the bottom again in a third surgery. Said not much to do for sides. I have a narrow rib cage. 120 pounds and 5'3". Why did this happen?

Payman Danielpour, MD, FACS · Answer

Sorry to hear about your misfortune but there is a solution.  I typically use permanent stitches to re create the fold and if I am doing revision surgery I will set the fold with an ADM (acellular dermal matrix).  Perhaps seeing a second opinion will be helpful.

George Marosan, MD · Answer

Thank you for your question. Unfortunately without photos and limited information, no specific answer can be given. The "why?" could be a combination of your tissue inelasticity and technical factors based on your surgeon's experience with tissue matrix placement. You said you had "mesh" put in. Is this like Seri or Vicryl mesh? Based on these, and photos, one can give you more specific answers.

David S. Motoki, MD · Answer

Breast implants can migrate in position soon or even years after surgery. They tend to move down and out. A combination of your soft tissue qualities, chest anatomy and the size of the breast implants play a role along with gravity and time. Placing smaller implants and some type of support such as mesh or acellular dermal implants is a common solution. Consider a second opinion and hopefully you will get a longer lasting result the next time.

Implants bottomed out twice - why?

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Implants bottomed out twice - why?

Answers (3)

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.