Your breast implants rely on surrounding skin and tissue for support. Bottoming out is the popular term for what happens when the breast pocket has dropped lower than desired. Surgeons might refer to bottoming out as a lengthened nipple-to-fold distance. Around your breasts are folds of tissue that provide your breast shape—usually in gentle curvatures under and on both sides of the breasts. If the skin, which provides a supportive envelope for the breasts, becomes thin, weak, or stretched, this laxity may cause the breasts to drop. Factors such as heredity, aging, pregnancy, rapid weight changes, or multiple breast surgery procedures can all contribute to the excessive skin laxity that can cause bottoming out.
Revis uses his innovative Internal Bra technique for correction of bottoming out, double bubble and synmastia also known as symmastia. Bottoming out is a specific example of a post-operative problem requiring a thorough, systematic approach and innovative surgical techniques. Revis has seen a dramatic increase in the number of patients presenting from other offices and other countries with bottoming out of one or both implants. Currently, this is the most common revision he performs, usually two to three times a week. Bottoming out is present when one or both implants are positioned too low or too lateral on the chest wall in relation to the nipple position. This means that the pocket, or capsule, surrounding the implant has become too low on the chest wall or rests too far laterally when lying down.
One of the most popular plastic surgery procedures offered today is breast augmentation surgery. Even a small increase in breast size can lead to a major difference in their looks. An issue that some patients face after they undergo breast augmentation involves their implant bottoming out. This is a phenomenon that you may see in some before and after photos when it comes to revision surgeries, though you may not have heard that term applied in such a way before. We want to use this blog post to consider this matter and what can be done to address it.
Question: I had Breast implants done 1year ago and I think one has bottomed out. Great question. Breast implant revision surgery is an extremely variable and highly individualized surgery. No two people require the exact same breast revision surgery. Because each cause has a slightly different treatment.