325cc to 485cc - what can be done to repair if I am bottoming out? (Photos)

Question

Bottoming out? PO 3mo removal/replacement 325 to 485. Nipple rising higher compared to r side. Upon palpation in inframammary fold popping sensation felt with palpating and “softer” area compared to surrounding area. Supportive bras worn at all times. Thoughts on bottoming out and what can be done to repair ? cost of repair?

Camille Cash, MD · Answer

It's difficult to tell if you are bottoming out.  An in person evaluation is best to help determine if this is occurring.  With bottoming out the distance between the nipple and breast fold increases, shifting the nipple more upward.  To correct this your surgeon may use mesh to support the tissues.  I encourage you to speak to your surgeon about your concerns.

Gary M. Horndeski, MD · Answer

Bottoming out occurs because the weight of the implant stretches the skin and the skin in unable to hold the load.  Going up to 485 cc implants, you are increasing the load and the situation will be even worse.  You need to reconsider the size or consider fat transfer as an alternative.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Awesome807104,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

The size you chose is probably too large and heavy on your tissue and is sagging. Ideally, you would go smaller and support your tissue with an internal bra of mesh. If you want to try and keep this size, you will need mesh.

325cc to 485cc - what can be done to repair if I am bottoming out? (Photos)

Answers (4)

Answer: Implants

Answer: Implants

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Everything you need to know about Breast Implant Revision

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325cc to 485cc - what can be done to repair if I am bottoming out? (Photos)

Answers (4)

Answer: Implants

Answer: Implants

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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.