Re-implanting after explant. how high is my risk for bottoming out? (Photo)

Dear rapa94,
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

Going smaller than the original implants will help decrease the risk of bottoming out. Also, mesh can be used if needed.

Hi there,
That is a very hard question, it would depend on the qualitly of your tissues and IMF (inframammary fold). I would see someone in person.
In general, the smaller implant will decrease the risk of bottoming out. Also, adding lower pole support such as mesh will also decrease the risk.
All the best