Before & After Gallery

Bottomed Out

Over dissection of the implant pocket can lead to early implant malposition.  The breast implant location falls below the intended inframammary crease giving the breast a “bottoming out” appearance.  Larger and heavier implants can also contribute to implant malposition.  If the nipple/areola complex is above the crease, implant pocket revision with implant repositioning can markedly improve the breast appearance without the need for a mastopexy.  This is accomplished by releasing the scar tissue around the breast implant superiorly, medially and anteriorly to allow the implant to be repositioned in the upper and medial pole improving cleavage and narrowing the gap between the breasts.  The pocket is then narrowed with internal sutures (capsulorrhaphy) plasced inferiorly and laterally.  These sutures support the breast implant preventing further bottoming out or lateral implant malposition.


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