Mesh to correct bottoming out - Good or bad?

Thank you for your query. The opinions on this are divided, but in some firm stances a mesh may be quite helpful depending on the breast tissues and condition of the skin. Most of the time, however, a mesh may not be required and would add to the costs and occasional side effects. Please find an experienced, board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

I do not use mesh for bottoming out because I do not believe it has the mechanical strength. You may be better off with removal the implants and doing a lift or replacing with smaller implants or fat transfers. Unfortunately, you have not provided photographs or told us your bra size. I would need more information to give you a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Dear Terrific677088,
bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery.
Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies.
If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Mesh can be very helpful if used correctly. the mesh I use is not permanent, but allows your own tissue to grow into it and replace it. Do remember, your implant is a "foreign body" too. You also may need to go with something smaller and less heavy,