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How is Bottoming Out of Breast Implants Corrected?


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by Dr. Steven Wallach

As with any surgical procedure, breast augmentation with implants comes with the risk of complications. Bottoming out is one complication that can occur. Thankfully, Dr. Wallach in New York can easily remedy this issue with breast implant revision surgery.

What is Bottoming Out?

Bottoming out refers to the implant falling down, often below the normal breast fold. This can happen immediately after surgery due to over-aggressive undermining in the region of the inframammary fold, weakness of the soft tissue around the inframammary fold, and sometimes due to weight of  having very large implants.

How to Correct It

Correcting bottoming out requires surgery.  Often this requires capsulorrhaphy, or capsule surgery, where a surgeon can take out a crescent of the capsule and secure it back to the native inframammary fold. This can be reinforced with an acellular dermal matrix, like Strattice, to reinforce the repair. Sometimes patients are also put in special bras after surgery to help re-suspend the soft tissue, as well. Some patients may receive smaller implants that are not as heavy and a little bit smaller in diameter to help compensate for the over-expansion of the lower pocket.

If you are experiencing bottoming out of your breast implants and wish to have this corrected, contact Dr. Wallach today to schedule a consultation.

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