Bottoming out? Almost 1yr post op. (photos)
Doctor Answers 4
Bottoming out breast implant? Almost 1yr post op.
Bottoming out after Breast Augmentation
Thanks for your question! Based upon your photos, I'd say that you largely have a great result one year out, and you need to carefully weigh the pros and cons of going back in for a revision. That being said, you might have a slight amount of bottoming out on your right. Not sure if it's worth the risk of additional surgery yet though. I do hundreds of breast augmentations and revisions per year, and I'm in you area in LBK if you need any help. Best of luck to ya!
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Repair of bottoming out
- Textured implants (“Velcro effect”)
- Use of Smaller Implants
- Maximum Submuscular Position (not just the pectoralis major but abdominis rectus below and serratus anterior on the side)
- Capsulorrhaphy (tightening the pocket by sewing in-folded capsular tissue together)
- Use of Biologic fabrics and other materials such as Acellular Dermal Matrix, “ADM” Alloderm, Strattice, “Silk” and others that can be used to reinforce the bottom of the pocket.
- Change of position of implant to a new pocket location “neo pectoral pocket”
- Internal Ryan Procedure (sutures binding the inferior mammary fold to stronger underlying tissues (e.g. fascial, periosteal)
- Removal of Implants and replacement of volume using your own fat (Fat Transfer).