Why do my breast implants keep bottoming out? (Photo)

Question

After a mini gastric bypass surgery 3 years ago and subsequent massive weight loss, I had multiple procedures to get rid of the excess skin. I had a belt lipectomy, this went really well! After a few months I had a breast lift. Then a few months after I had breast implants. Unfortunately soon after they bottomed out. After 6 months, my surgeon advised me to have another procedure to add a mesh to support the implants. I went ahead but soon after the implants bottomed out again! What is wrong?

John E. Nees, MD · Answer

It's possible that the recurrent "bottoming out" of your breast implants, where the implants slip below the breast crease, is due to several factors, even after the addition of a support mesh. Factors like skin quality, especially after significant weight loss and multiple surgeries, can affect the skin's ability to adequately support the implants. Additionally, surgical technique, the type and weight of the implants, might also play a role. It's crucial to discuss these recurring issues with your surgeon or consider a second opinion to assess and understand the specific causes in your case and explore the best options for a more stable and satisfactory outcome.

Connie Hiers, MD, FACS · Answer

Your very thinned stretched out breast tissue is not supporting the weight of your implants. You should go smaller.

Mark Eberbach, MD · Answer

It appears that the central part of your breast lifting was satisfactory. You could collapsed laterally, and this requires an elevation of the lateral aspect of your axilla skin incorporated into a back lift as well, although I don’t see posterior picture.

This operation would turn, the lateral sweep, more superiorly into a rounder appearance.

Good luck

Mats Hagstrom, MD (license on probation) · Answer

There are generally three components to a quality breast documentation.
The first is the patient’s candidacy. The second is the correct choice of implants in regards to size, shape, and type.
The third variable is the technical ability of the surgeon to place the implant in the correct anatomic position.
 Ideally, the implant should be supported by the anatomic structures of the infamy, fold and part of the pectoralis muscle.
If too much of the pectoralis muscle is transfected, then the origin of the muscle is left insufficient to support the gravitational pole and the force of contraction of the pectoralis muscle, forcing the implant inferiorly, causing the implant to eventually bottom out.
This is generally due to poor technical skill during the procedure.
 Once the implant has bottomed out, the situation becomes technically more difficult. Is difficult to create the structural support the implant needs once the tissue has been cut.
Correcting bottom doubt implants is not a simple operation and patience. Should consider getting the care of experienced plastic surgeons with proven track record record record. Who’ve done this operation multiple times previously.
Ask providers to show you their entire collection of before, and after pictures of previous patients who had the same deformity.
Best,
Matt Hagstrom, MD.

Why do my breast implants keep bottoming out? (Photo)

Answers (4)

Answer: Ideal implant placement

Answer: Ideal implant placement

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Why do my breast implants keep bottoming out? (Photo)

Answers (4)

Answer: Ideal implant placement

Answer: Ideal implant placement

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Recommended reading

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.