How to fix bottoming out & improve cleavage (Photos)

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

It is probable that you are feeling the implants significantly along the lower poles of the breasts. Patients in your situation often complain of discomfort in the area of implant malposition. Also,  consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low.  Furthermore, the inframammary fold scars sit too high on the breast mounds secondary to the breast implants' displacement.

 



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.  Associated issues with positioning of nipple/areola complexes and visibility of the inframmammary fold scars should improve with this operation.The “internal bra” refers to a procedure where the breast implant capsule is utilized ( the procedure is called a capsulorraphy) to prevent the breast implants from moving too far downward or to the sides. Sometimes, the use of additional material such as acellular dermal matrix or biosynthetic mesh, may be helpful for additional support. 





Ultimately, careful selection of plastic surgeon,  appropriate selection of  type of revisionary breast surgery,  skillful execution of the procedure, and careful attention to postoperative activity restrictions will be key to success.



I hope this, and the attached link (and video), helps.

Thank you for your question.  Bottoming out is due to several factors and a discussion with your plastic surgeon is important in coming up with a good treatment plan.  In my practice the treatment involves use of some dermal matrix product to further support the implant/the overlying skin and correct pocket issues.  Please discuss this with your plastic surgeon. Best of luck.