About Breast Implant “Bottoming Out”

In the United States alone there are millions of women who have had a breast augmentation. The vast majority of women who have this procedure are extremely happy with their improved figure. This is an outpatient operation with minimal risk, low complication rates and excellent results.

Occasionally, a woman who has breast augmentation can develop a shifting of the breast implant(s). Some of these cases result in the implants being too low on the chest wall. Generally this is result of the breast implant pocket being in the wrong position or the pocket being too large for the implant. Either of these situations can be caused by implants that are too large or too heavy for the breast tissues to adequately hold them in place. The excess size and weight can cause the tissues to stretch and allowing the implant to migrate down to an abnormally low position. Much less commonly, the fold at the bottom of the breast could have been damaged at the time of surgery and the bottom of the pocket dissected too low, resulting in an implant position that is unsatisfactory and giving what is sometimes referred to as a “double bubble” appearance.

Traditional techniques to repair an implant that has bottomed out, is too low or has a double bubble appearance have been difficult to do. The recurrence rates have been high and at times multiple operations have been necessary.

Dr. Nein has treated a number of women who have been referred for treatment of implants that have dropped and become too low. The success of these breast revision surgery operations has been quite good and recurrence rates extremely low. The use of a biological mesh such as SERI makes it possible to very, very low recurrence rates with even very heavy implants that normally would have a high risk of recurrent bottoming out. This mesh is used to reinforce the repair of the bottom of the implant pocket and support the weight of the implant. Over many months, the SERI is absorbed but leaves behind a strong layer of natural tissue which continues to support the implant(s) and strengthen the repair of the inframammary fold. These procedures are performed as an outpatient and recovery is similar to the initial breast augmentation.

For additional questions regarding breast implant surgery, breast revision surgery or breast asymmetry please contact Dr. Nein’s office at 615-327-0201 and we’ll be happy to help you.

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