i had a reduction, lift and implants in january 2023. I’ve had 3 children and was left with empty 34D. My surgeon suggested 375cc in both breast with reduction and implants. i wanted a fuller upper pole as it was very deflated. i went with high profile. since the beginning i’ve been concerned but my surgeon and nurses said they would round in time but i’m over 7month and i think they are just getting worse.
Answer: Bottomed out Yes, unfortunately your implants have bottomed out. You will need surgical intervention to correct this. Surgical mesh may be a good idea to give support to the implants. I've included a video that I hope you find helpful.
Helpful 2 people found this helpful
Answer: Bottomed out Yes, unfortunately your implants have bottomed out. You will need surgical intervention to correct this. Surgical mesh may be a good idea to give support to the implants. I've included a video that I hope you find helpful.
Helpful 2 people found this helpful
Answer: Full Mastopexy Recommended First of all, those breasts are never going to round out on their own. Your inframammary folds appear stable based on this photograph. However, it appears that you have an elongated and stretched out lower pole giving you an extremely long nipple to fold distance. This is a common finding when only a circumvertical mastopexy is performed without using an inverted T incision. Without examining you, I cannot tell if you have capsular contracture which could also be causing the distortion in your lower poles. You definitely need a revision with a full inverted T mastopexy where all of that stretched out and elongated lower pole skin can be resected giving you a tight and crisp inframammary fold and lower pole.
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Answer: Full Mastopexy Recommended First of all, those breasts are never going to round out on their own. Your inframammary folds appear stable based on this photograph. However, it appears that you have an elongated and stretched out lower pole giving you an extremely long nipple to fold distance. This is a common finding when only a circumvertical mastopexy is performed without using an inverted T incision. Without examining you, I cannot tell if you have capsular contracture which could also be causing the distortion in your lower poles. You definitely need a revision with a full inverted T mastopexy where all of that stretched out and elongated lower pole skin can be resected giving you a tight and crisp inframammary fold and lower pole.
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August 9, 2023
Answer: What’s happened? Am I bottoming out? Your photo suggests that the aesthetic appearance could be improved by shortening the distance between your nipples and the inframammary folds and possibly raising the positions of the implants. Ask your surgeon if one or both of these would be of reasonable benefit.
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August 9, 2023
Answer: What’s happened? Am I bottoming out? Your photo suggests that the aesthetic appearance could be improved by shortening the distance between your nipples and the inframammary folds and possibly raising the positions of the implants. Ask your surgeon if one or both of these would be of reasonable benefit.
Helpful 1 person found this helpful
August 1, 2023
Answer: Breast implant position Hello and thank you for your question! I understand that it is frustrating to not see the results you were looking for. From the appearance of the photos it appears the breast implants have "bottomed out" and have stretched the lower pole of the breast with loss of the strength of the IMF (inframammary fold). In my opinion, this will not improve on its own and would require a revision surgery to perform a revision mastopexy-augmentation with resetting the IMF and reinforcing the lower pole tissues with products like galaflex (biosynthetic mesh) or ADM (acellular dermal matrix).
Helpful 1 person found this helpful
August 1, 2023
Answer: Breast implant position Hello and thank you for your question! I understand that it is frustrating to not see the results you were looking for. From the appearance of the photos it appears the breast implants have "bottomed out" and have stretched the lower pole of the breast with loss of the strength of the IMF (inframammary fold). In my opinion, this will not improve on its own and would require a revision surgery to perform a revision mastopexy-augmentation with resetting the IMF and reinforcing the lower pole tissues with products like galaflex (biosynthetic mesh) or ADM (acellular dermal matrix).
Helpful 1 person found this helpful
July 30, 2023
Answer: Breast result Thanks for your inquiry, I suggest you discuss with your surgeon about shortening your nipple to fold distance and consider using some absorbable mesh like Galaflex to hold it in position.
Helpful 1 person found this helpful
July 30, 2023
Answer: Breast result Thanks for your inquiry, I suggest you discuss with your surgeon about shortening your nipple to fold distance and consider using some absorbable mesh like Galaflex to hold it in position.
Helpful 1 person found this helpful
July 31, 2023
Answer: Bottoming out Dear Fearless590719, 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
Helpful 1 person found this helpful
July 31, 2023
Answer: Bottoming out Dear Fearless590719, 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
Helpful 1 person found this helpful