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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.
Dr. Steven Wallach is a board-certified plastic surgeon in New York City specializing in aesthetic facial and body contouring, as well as reconstructive surgery. He earned his medical degree from NYU School of Medicine and completed advanced training at Albert Einstein College of Medicine/Montefiore Medical Center, followed by a prestigious fellowship in California. A past president of the New York Regional Society of Plastic Surgeons and former executive board member of The Aesthetic Society, Dr. Wallach is frequently recognized for his expertise, including in New York Magazine’s “Best Beauty Docs.” In addition to his clinical practice, he is an Associate Clinical Professor at Albert Einstein and regularly contributes to medical publications and national media. Known for his innovative techniques and compassionate care, he helps patients achieve natural, confidence-boosting results.
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