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Breast Implant Revision Surgery for Implant Bottoming Out

Posted Jan 6, 2014 by Stephen Greenberg, MD

Breast Implant/Augmentation Revision - Bottoming OutOne of the most popular plastic surgery procedures performed around the world is breast augmentation. By undergoing a breast enlargement surgery, patients are able to enhance the size and alter the shape of the breasts, enhancing existing curves and improving overall femininity and body contour/silhouette in the process.

While breast augmentation surgery is quite effective, there are potential complications and risks that can affect the results of the surgery, even years and years down the road. One particular issue that patients with breast implants deal with is known as bottoming out. We'd like to take a moment right now to consider some of the basics with regard to the bottoming out of breast implants and how this can be corrected through a revision surgery.

About Breast Implants Bottoming Out

Bottoming out occurs when breast implants descend from their initial position in the chest. This can lead to breasts that are significantly asymmetrical or uneven, affecting the overall aesthetics of the surgery.

Why does bottoming out occur?

In most cases, bottoming out occurs as a result of gravity when the breast implants are quite large. Over time, it is possible for the large breast implant to descend in the breast pocket.

How Breast Implant Revision Works

Broadly, breast implant revision is a secondary surgery that improves the overall results of the initial breast augmentation surgery. With regard to the bottoming out of breast implants, a breast implant revision is performed in order to lift the asymmetrical breast implants or both descended breast implants in order to achieve a more ideal appearance.

What to Expect During Revision Breast Implant Surgery

There are different ways to go about breast augmentation revision for implants that have bottomed out. In many cases, plastic surgeons will try to simply use hidden permanent sutures underneath the skin that help lift the bottomed out breast implant. This procedure has proven quite effective with many patients.

If the use of hidden sutures is not the ideal option for a patient, another option to consider is a breast lift or the replacement of the original breast implants with smaller breast implants.

Each patient's needs differ, so the best option for you and your needs will be discussed during your consultation.

Ways to Avoid Breast Implants Bottoming Out

There are a few ways that plastic surgeons and patients can prevent potential bottoming out in the future. For one, smaller breast implants can be used when performing the surgery. Bigger is not always better when it comes to breast enlargement surgery, and the recommendation of smaller breast implants can have dramatic aesthetic results while avoiding potential issues in the future.

Another option to consider involves the placement of the breast implants relative to the pectoral muscle. When breast implants are placed submuscularly rather than above the pectoral muscle, bottoming out is less likely.

Both of these options and others can be discussed in more detail during your consultation for the initial breast augmentation. Knowing all of your options will help you make well-informed decisions about all of your aesthetic goals.

Learn More About Cosmetic Plastic Surgery

For more information about breast augmentation surgery and your many other options for enhancing your curves, be sure to contact our Manhattan and Long Island cosmetic plastic surgery centers today. The entire team here looks forward to meeting you in person and helping you achieve all of your aesthetic goals.

Greenberg Cosmetic Surgery
Manhattan Office
461 Park Ave S
Manhattan, NY 10016
(212) 319-4999







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160 Crossways Park Dr
Woodbury, NY 11797
(516) 364-4200







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365 County Rd 39A  Ste 7
Southampton, NY 11968
(631) 287-4999







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1599 NW 9th Avenue
Boca Raton, FL 33486
(561) 208-1080