Will bottoming out progress and get worse during pregnancy? (Photo)

Thank you for your question and photos.  Yes, it can get worse but is unpredictable.  The hormones of pregnancy alone will make your tissues more stretchy in preparation for delivery, so this can get worse, especially during pregnancy.  There is not much you are able to do other than perhaps wearing a support bra.  Revision surgery such as this is a bit more complex than the first augmentation and thus the cost is often a bit higher.  It's definitely worth the fix though!

Hello,No one can tell you if it will get worse. I suppose it doesn't matter. You need to visit a few ABPS certified/ASAPS member surgeons that specialize in revision breast surgery. It is a longer, more complex surgery. Given the likelihood of a more senior surgeon performing a more difficult and lengthy operation, you can be assured it will be more expensive, unfortunately. You might consider just removing your current implants under local anesthesia so that they don't do more damage. Best of luck!

Bottoming out can occur for several reasons.It can be successfully repaired by a plastic surgeon familiar with the repair techniques

I am sorry to hear about the complication you have experienced.



Revisionary breast surgery to correct  breast implant bottoming out which will likely involve capsulorraphy ( internal suture repair). Sometimes, depending mainly on the patient's history and physical examination, I will also use additional supportive materials such as acellular dermal matrix or biosynthetic mesh. This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation. 









Key will be careful selection of plastic surgeon;  success with these types of revisionary breast operations are experienced dependent in my opinion.   In other words, make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with  this type of revisionary breast surgery. 





I hope this, and the attached link and video (dedicated to corrective surgery for bottoming out concerns), helps.  Best wishes for smooth pregnancy, happy/healthy newborn, and eventual revisionary breast surgery outcome that you will be very pleased with.

Thanks for your question-- congrats on your upcoming addition!  Almost all physicians are going to recommend to you, as I will, to focus on your health and the health of your baby.  But at some point after the postpartum changes are complete, (and after you catch up on lost sleep) you will probably want to look into a revision.  The photo you submitted does show bottoming out of the implants, fairly symmetrically on both sides.  Your surgeon may have tried to lower the fold beneath the breasts to accommodate the larger implant.  However, with this loss of support, implants are prone to descend further down the chest than they are supposed to.  To fix this, you would need sutures along the lower pole to reposition the implant.  Adding a mesh to the lower pole can reinforce the area and help prevent this from happening again.  Also, a smaller, lighter implant is less prone to bottom out like this. Finally, you'll want to see what effects pregnancy has on the breasts, you might need to consider a lift at the same time (not just raising the implant, but raising the implant and tightening the skin around it.)  Revision surgeries are more difficult, and often take longer than the augmentation, so most of the time they cost more.  Discuss this with your plastic surgeon to determine your best options.Best wishes with your pregnancy,Erik Hoy, MDRhode Island Plastic Surgeon