Yes. I have bottomed out in both breasts. I'm ONLY 7 months post op. Problem is, I'm currently pregnant and can't undergo surgery as of now. Will it progress and get worse during this time? I most likely won't be able to do it until a year from now.... And will be going to a different surgeon!! Also, what price range will this surgery cost? Does revision cost more ? I provided a picture before my procedure and today
Answer: Bottomed out? Bottoming out can occur for several reasons.It can be successfully repaired by a plastic surgeon familiar with the repair techniques
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Answer: Bottomed out? Bottoming out can occur for several reasons.It can be successfully repaired by a plastic surgeon familiar with the repair techniques
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October 21, 2016
Answer: Implant bottomed out? 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
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October 21, 2016
Answer: Implant bottomed out? 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
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