Some breast implant patients notice that when they lie down, their breast implants move about freely. In some cases the implants shift from side to side, or stick out below. This movement of the breast implants is referred to as ‘bottoming out.’ But what is the risk of ‘bottoming out’ with a breast augmentation surgery, and how can it be corrected?
Understanding ‘Bottoming Out’
Bottoming out of the breast implants is one of the complications that can occur after breast augmentation surgery. The problem often results when the implant pocket fails, or becomes enlarged when the breast implant expands over time. This reduces the available tissue support in the lower pole of the breast, therefore the breast implants shift downward, lowering the crease fold.
Who is at risk?
Bottoming out is common in patients that have very thin skin, which does not provide adequate support for the implants. It is also prevalent in patients with very large implants that require a large implant pocket.
The dissection of the implant pocket is another contributing factor, because if this is done too far below the breast crease, bottoming out can result.
How is it treated?
Bottoming out often requires revision breast augmentation in which permanent sutures are used to restore the pocket.
If you are interested in learning more about what is the risk of bottoming out after breast augmentation, contact a plastic surgeon who is experienced with this type of surgery.
Dr. Kyle Song of Song Plastic Surgery, Irvine, CA is a board certified plastic surgeon with the necessary expertise in the management of breast implant problems. Call (949) 701-4454 to speak with Dr. Song, or schedule an appointment.