I’m 2 months post op from having a breast pocket revision after getting implants that bottomed out from over dissection of my original breast crease. I had my original surgery in August of 2017. I had my revision in the beginning of May 2018 and now I’m wondering if my left implant looks like it’s bottoming out again? The first 4 pictures are from 2 months after the revision and the next is 2 days after and the last is from before the revision
July 16, 2018
Answer: Bottoming out again Based on the pics it does appear that your left breast had bottomed out a little again but it’s still much improved from before your revision surgery. Your left breast looked significantly worse than your right breast pre- op so it’s not surprising that it did not hold up as well. It’s really difficult to correct that much bottoming out with the capsulorrhaphy technique alone.I find the aftercare is also very important to help the repair heal adequately before stressing it again. Usually I have my patients wear a snug underwire sportsbra for at least 6 months post op and have them refrain from high impact exercises. Also if the implants are excessively large implants, I usually recommend that they be downsized as excessively large implants require more overdissection and place more stress on the IMF support, increasing the likelihood for bottoming out as well as recurrence of the original condition. Best wishes.
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July 16, 2018
Answer: Bottoming out again Based on the pics it does appear that your left breast had bottomed out a little again but it’s still much improved from before your revision surgery. Your left breast looked significantly worse than your right breast pre- op so it’s not surprising that it did not hold up as well. It’s really difficult to correct that much bottoming out with the capsulorrhaphy technique alone.I find the aftercare is also very important to help the repair heal adequately before stressing it again. Usually I have my patients wear a snug underwire sportsbra for at least 6 months post op and have them refrain from high impact exercises. Also if the implants are excessively large implants, I usually recommend that they be downsized as excessively large implants require more overdissection and place more stress on the IMF support, increasing the likelihood for bottoming out as well as recurrence of the original condition. Best wishes.
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