Bottoming Out Breast Implants
Reinforcement of the breast crease (inframammary fold) with internal sutures is one of the potential corrective surgeries for bottomed out breast implants.
Implant Size Revision | Capsular Contracture | Symmastia
Bottoming Out | Ruptured Implant | Double Bubble
Over-dissection of the pocket can cause many of the complications related to breast augmentation surgery. Bottoming out of the breast implants is another one of these occurances. Bottoming out can also happen as a result of the patients own anatomy at no fault of the plastic surgeon at all. Some patients have very thin breast tissue and an implant which is heavy enough can pull the breast downward causing it to bottom out. With bottomed out breast implants the high point of the breast (also known as the breast mound apex) appears too low and the nipples too high. There is also an unnatural breast crease (inframammary breast fold) which is too low on the chest. Bottoming out has a higher occurance therefore in patients who have subglandular breast implant placement as opposed to submuscular or partial submuscular.
Surgery to Repair Bottomed Out Breast Implants
The corrective surgery to repair bottoming out of breast implants consists of moving the inframammary fold higher. This is done by reinforcing the lower area of the breast pocket with internal sutures thus raising the breast implant and resulting in a more natural breast mound and inframammary crease.
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> Implant Volume / Size Revision
Patients with saline implants who aren't happy with the volume or size of their breasts can elect to have revision surgery to add or remove saline from their implants. Silicone patients would have to purchase a new silicone implant in the desired size.
> Capsular Contracture
This is the most common complication for breast implant patients. A capsule is the fibrous tissue that grows around the breast implant (as with any foreign object placed in the body).
> Symmastia
The breasts appear too close at the center and the implants can appear to be touching each other. Symmastia (aka - uniboob, breadloafing) occurs only when an implant is placed under the muscle (submuscular) and the pectoralis muscle is severed from the sternum.
> Bottoming Out
Breast implants that have bottomed out can have nipples that appear too high or an inframammary fold that appears unnaturally low.
> Ruptured Implants
Decreased breast size, uneven breasts, pain or swelling can indicate a ruptured breast implant (saline or silicone breast implants). Most ruptures are covered by the implant manufacturer, although surgical costs for replacing the damaged implant are still incurred.
> Double Bubble
When tissue hangs beneath an implant which has been placed submuscular, this is referred to as a double bubble or high-riding implant. This usually occurs with an individual who has sagging breasts before their breast augmentation surgery.
